Alexandra Marie Dewulf (NPI# 1578911764, PAC ID# 0042598666) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1578911764 |
| PAC ID by PECOS | 0042598666 |
| Professional Enrollment ID | I20161101001922 |
| Full Name | Alexandra Marie Dewulf |
| Organization Legal Name | OSF MEDICAL GROUP OF CALIFORNIA INC |
| Address |
14649 Victory Blvd Suite 24 Van Nuys CA 91411-4101 |
| Phone Number | 8187791500 |
| Gender | F |
| Medical School | UNIVERSITY OF MICHIGAN MEDICAL SCHOOL |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7315835238 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050007 | PENINSULA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 326 W Main St, Suite 120, Santa Maria, CA 93458-5070 | 8059259997 | OSF MEDICAL GROUP OF CALIFORNIA INC |
| 326 W Main St, Santa Maria, CA 93458-5070 | 8059259997 | OSF MEDICAL GROUP OF CALIFORNIA INC |
| 14649 Victory Blvd, Suite 24, Van Nuys, CA 91411-4101 | 8187791500 | OSF MEDICAL GROUP OF CALIFORNIA INC |
| 14649 Victory Blvd, Van Nuys, CA 91411-4101 | 8187791500 | OSF MEDICAL GROUP OF CALIFORNIA INC |
| Organization Legal Name | OSF MEDICAL GROUP OF CALIFORNIA INC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amit Nathani | Orthopedic Surgery | Osf Medical Group of California Inc | 401 E Carrillo St, Santa Barbara, CA 93101-1460 |
| Jesse Jacobs | Physician Assistant | Osf Medical Group of California Inc | 14649 Victory Blvd, Suite 24, Van Nuys, CA 91411-4101 |
| Stephanie Nichole Thiriot | Physician Assistant | Osf Medical Group of California Inc | 14649 Victory Blvd, Suite 24, Van Nuys, CA 91411-4101 |
| Tristan Zhang | Physical Medicine and Rehabilitation | Osf Medical Group of California Inc | 401 E Carrillo St, Santa Barbara, CA 93101-1460 |
| Kenneth A Nisbet | Physician Assistant | Osf Medical Group of California Inc | 14649 Victory Blvd, Suite 24, Van Nuys, CA 91411-4101 |
| Alan P Moelleken | Orthopedic Surgery | Osf Medical Group of California Inc | 401 E Carrillo St, Santa Barbara, CA 93101-1460 |
| Emily N Walwood | Physician Assistant | Osf Medical Group of California Inc | 14649 Victory Blvd, Suite 24, Van Nuys, CA 91411-4101 |
| Johanna M Rooijakkers | Physician Assistant | Osf Medical Group of California Inc | 14649 Victory Blvd, Suite 24, Van Nuys, CA 91411-4101 |
| Richard Jason Hartman | Orthopedic Surgery | Osf Medical Group of California Inc | 401 E Carrillo St, Santa Barbara, CA 93101-1460 |
| Kara Elizabeth Georgiadis | Physician Assistant | Osf Medical Group of California Inc | 14649 Victory Blvd, Suite 24, Van Nuys, CA 91411-4101 |
| Street Address |
14649 VICTORY BLVD SUITE 24 |
| City | VAN NUYS |
| State | CA |
| Zip | 91411-4101 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jesse Jacobs | Physician Assistant | Osf Medical Group of California Inc | 14649 Victory Blvd, Suite 24, Van Nuys, CA 91411-4101 |
| Stephanie Nichole Thiriot | Physician Assistant | Osf Medical Group of California Inc | 14649 Victory Blvd, Suite 24, Van Nuys, CA 91411-4101 |
| Hanan Lobel | Internal Medicine | 14649 Victory Blvd, Suite 10, Van Nuys, CA 91411-4101 | |
| Josef Lobel | Internal Medicine | 14649 Victory Blvd, Suite 10, Van Nuys, CA 91411-4101 | |
| Anita Emperatriz Gonzalez | General Practice | 14649 Victory Blvd, Suite 20, Van Nuys, CA 91411-4101 | |
| Ebrahim Hakimian | General Practice | 14649 Victory Blvd, Suite 22, Van Nuys, CA 91411-4101 | |
| Kenneth A Nisbet | Physician Assistant | Osf Medical Group of California Inc | 14649 Victory Blvd, Suite 24, Van Nuys, CA 91411-4101 |
| Emily N Walwood | Physician Assistant | Osf Medical Group of California Inc | 14649 Victory Blvd, Suite 24, Van Nuys, CA 91411-4101 |
| Johanna M Rooijakkers | Physician Assistant | Osf Medical Group of California Inc | 14649 Victory Blvd, Suite 24, Van Nuys, CA 91411-4101 |
| Kara Elizabeth Georgiadis | Physician Assistant | Osf Medical Group of California Inc | 14649 Victory Blvd, Suite 24, Van Nuys, CA 91411-4101 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vijaya K Katukota | Internal Medicine | El Dorado Community Service Center | 6265 Sepulveda Blvd, Suite 10, Van Nuys, CA 91411-1127 |
| Jobert B Poblete | Psychiatry | San Fernando Valley Community Mental Health Center | 14515 Hamlin St, Suite 200, Van Nuys, CA 91411-1608 |
| Seung Kyum Lee | Psychiatry | San Fernando Valley Community Mental Health Center | 14515 Hamlin St, Suite 200, Van Nuys, CA 91411-1608 |
| Damian Robledo | Clinical Social Worker | Southern California Medical Center Inc | 14550 Haynes St, Van Nuys, CA 91411-1613 |
| John C Petitt | Family Medicine | Southern California Medical Center Inc | 14550 Haynes St, Van Nuys, CA 91411-1613 |
| Pedram Kohan | Internal Medicine | Southern California Medical Center Inc | 14550 Haynes St, Van Nuys, CA 91411-1613 |
| Albemar M Espiritu | Podiatry | Malkhas Medical Group Inc | 14555 Hamlin St, Suite 108, Van Nuys, CA 91411-1617 |
| Asher Ram | Internal Medicine | 14547 Victory Blvd, Van Nuys, CA 91411-1619 | |
| Myung Hoon Lee | Family Medicine | 14614 Victory Blvd, Van Nuys, CA 91411-1621 | |
| Simon Nazarian | Chiropractic | 14540 Victory Blvd, Suite 101, Van Nuys, CA 91411-1697 | |
| Find all physicians in zip 91411 | |||
| City | VAN NUYS |
| Zip Code | 91411 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | VAN NUYS + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Alexandra Marie Dewulf.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.