MR. ROBERT MARK PEKARI (NPI# 1679554786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679554786 |
| Entity Type | Individual |
| Full Name | MR. ROBERT MARK PEKARI |
| Credential | PA-C |
| Practice Address |
483 N Aviation Blvd 61st Medical Group/sgpf El Segundo CA 90245-2808 |
| Practice Telephone | 3106536676 |
| Mailing Telephone | 3106536676 |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2009-02-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
18510 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
483 N AVIATION BLVD 61ST MEDICAL GROUP/SGPF |
| City | EL SEGUNDO |
| State | CA |
| Zip Code | 90245-2808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750370250 | Roy C Marlow | Dentist | 483 N Aviation Blvd, 61st Medical Group/sgd; #210, El Segundo, CA 90245-2808 | 2005-10-18 |
| 1114372786 | Adam George Hendriksen | Military Health Care Provider | 483 N Aviation Blvd, El Segundo, CA 90245-2808 | 2016-05-02 |
| 1245622273 | Lisa Kendrick | Contractor | 483 N Aviation Blvd, 61 Medical Squadron Laafb, El Segundo, CA 90245-2808 | 2015-02-27 |
| 1346547320 | Patrick Edgecomb | Physical Therapist | 483 N Aviation Blvd, Bldg 210, El Segundo, CA 90245-2808 | 2011-02-28 |
| 1124334404 | Chad Rounds | Pharmacist | 483 N Aviation Blvd, El Segundo, CA 90245-2808 | 2010-08-25 |
| 1194046425 | Matthew John Royall | Pediatrics | 483 N Aviation Blvd, Bldg 210, El Segundo, CA 90245-2808 | 2010-06-22 |
| 1700013745 | James Michael Ridgeway II | Dentist | 483 N Aviation Blvd, Los Angeles Afb/61mds/sgd, El Segundo, CA 90245 | 2009-06-17 |
| 1679751200 | Clifford C Souder | Physician Assistant | 483 N Aviation Blvd, El Segundo, CA 90245-2808 | 2008-02-06 |
| 1598710220 | Peggy Marie Delery | Social Worker | 483 N Aviation Blvd, 61 Mds/sgoh, El Segundo, CA 90245-2808 | 2006-05-23 |
| 1568446698 | Val Wano Finnell | Pathology | 483 N Aviation Blvd, 61 Mdg/sgh, El Segundo, CA 90245-2808 | 2005-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366058976 | Britt'nee Cornelius | Massage Therapist | 222 North PCh, Suite 2000, El Segundo, CA 90245 | 2020-09-18 |
| 1750913778 | Laurie Ann Scoppetto | Dietitian, Registered | 482 N Aviation Blvd, El Segundo, CA 90245 | 2020-02-07 |
| 1972135283 | A Dabrowska Dds, Inc | Dentist | 390 N. Pacific Coast Hwy #1050, El Segundo, CA 90245 | 2020-02-05 |
| 1578023057 | Miles Bertumen | Pharmacist | 283 N Aviation Blvd, Building 210, El Segundo, CA 90245 | 2019-03-21 |
| 1831673201 | Kriss L. Killam | Marriage & Family Therapist | 302 W. Grand Ave., Suite 9, El Segundo, CA 90245 | 2018-09-20 |
| 1811487911 | Bright Light Recovery | Substance Abuse Rehabilitation Facility | 218 Concord St, Suite C, El Segundo, CA 90245 | 2018-05-14 |
| 1265950448 | Sarah Yuriko Mizuki | Physician Assistant | 390 N PCh, Suite 1000, El Segundo, CA 90245 | 2017-09-07 |
| 1326586462 | Jlp Interpreting Services | Interpreter | 963 Virginia St #5, El Segundo, CA 90245 | 2017-02-09 |
| 1619351707 | El Segundo Dermatology, Inc. | Specialist | 713 N Douglas St., El Segundo, CA 90245 | 2015-07-17 |
| 1083956635 | 24hr Homecare, LLC | Home Health | 200 N. Pacific Coast Highway, Suite 300, El Segundo, CA 90245 | 2013-03-21 |
| Find all providers in zip 90245 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407185747 | Christina L Beck | Physician Assistant | 713 N Douglas St, El Segundo, CA 90245-2830 | 2009-12-16 |
| 1144240615 | Rebecca L. Pestle | Physician Assistant | 390 N Sepulveda Blvd Ste 1065, El Segundo, CA 90245-4483 | 2006-07-20 |
| 1578052916 | Katy Swartzbaugh | Physician Assistant | 2101 Rosecrans Ave # 3230, El Segundo, CA 90245-4749 | 2018-05-01 |
| 1720532013 | Risa Budoff | Physician Assistant | 390 N Pacific Coast Hwy Ste 3000, El Segundo, CA 90245-4486 | 2016-08-04 |
| 1194964635 | Alexandra Kroeff | Physician Assistant | 2101 Rosecrans Ave # 3230, El Segundo, CA 90245-4749 | 2009-02-06 |
| 1033265285 | Timothy Dawayne Barmore | Physician Assistant | 390 N Sepulveda Blvd, 1000, El Segundo, CA 90245-4475 | 2007-01-27 |
| 1447328356 | Redgie Arlan Mccall Jr. | Physician Assistant | 390 N Sepulveda Blvd, Suite # 1000, El Segundo, CA 90245-4475 | 2006-11-30 |
| 1891866828 | Grace Jean-pierre | Physician Assistant | 2101 Rosecrans Ave # 3230, El Segundo, CA 90245-4749 | 2006-11-13 |
| 1720178890 | Messeret Assefa | Physician Assistant | 455 Main St, El Segundo, CA 90245-3003 | 2006-10-13 |
| 1982716213 | Thanh Chu | Physician Assistant | 2101 Rosecrans Ave # 3230, El Segundo, CA 90245-4749 | 2006-08-31 |
| Find all providers in EL SEGUNDO | ||||
| City | EL SEGUNDO |
| Zip Code | 90245 |
Please comment or provide details below to improve the information on MR. ROBERT MARK PEKARI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.