Nicolas Sengdara (NPI# 1386123511, PAC ID# 1456785203) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1386123511 |
| PAC ID by PECOS | 1456785203 |
| Professional Enrollment ID | I20200102001763 |
| Full Name | Nicolas Sengdara |
| Organization Legal Name | REGENERATIVE MEDICAL GROUP INC |
| Address |
12620 Brookhurst St Suite 2 Garden Grove CA 92840-4875 |
| Phone Number | 6572510453 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3779707674 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 12620 Brookhurst St, Suite 2, Garden Grove, CA 92840-4875 | 6572510453 | REGENERATIVE MEDICAL GROUP INC |
| 615 E Chapman Ave, Orange, CA 92866-1643 | 7146394012 | REGENERATIVE MEDICAL GROUP INC |
| Organization Legal Name | REGENERATIVE MEDICAL GROUP INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard M Rutledge | Family Medicine | Regenerative Medical Group Inc | 12620 Brookhurst St, Suite 2, Garden Grove, CA 92840-4875 |
| Street Address |
12620 BROOKHURST ST SUITE 2 |
| City | GARDEN GROVE |
| State | CA |
| Zip | 92840-4875 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard M Rutledge | Family Medicine | Regenerative Medical Group Inc | 12620 Brookhurst St, Suite 2, Garden Grove, CA 92840-4875 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Myung | Chiropractic | 11501 Brookhurst St, Suite 101, Garden Grove, CA 92840-1500 | |
| Janet K Sheridan | Chiropractic | 11922 Seacrest Dr, Suite D, Garden Grove, CA 92840-1937 | |
| Glenn Chang | Oral Surgery | Tan Nghiem Dds Inc | 12132 Brookhurst St, Garden Grove, CA 92840-2817 |
| Tan Trung Nghiem | Dentist | Tan Nghiem Dds Inc | 12132 Brookhurst St, Garden Grove, CA 92840-2817 |
| Tuan Duc Nguyen | Chiropractic | 10666 Chapman Ave, Suite 3, Garden Grove, CA 92840-3103 | |
| Terese S Bergheim | Dermatology | Southern California Permanente Medical Group | 12100 Euclid St, Garden Grove, CA 92840-3304 |
| Anhthu T Nguyen | Family Practice | Southern California Permanente Medical Group | 12100 Euclid St, Garden Grove, CA 92840-3304 |
| Yen Phuong Vu | Optometry | 12081 Euclid St, Garden Grove, CA 92840-3332 | |
| Kent S Salholm | Chiropractic | 12460 Euclid St, Suite 102, Garden Grove, CA 92840-3351 | |
| Lynda M Bjornson | Clinical Psychologist | 12443 Lewis St, Suite 101, Garden Grove, CA 92840-4650 | |
| Find all physicians in zip 92840 | |||
| City | GARDEN GROVE |
| Zip Code | 92840 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GARDEN GROVE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Nicolas Sengdara.
| 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.