Iva S Ilic (NPI# 1790861813, PAC ID# 1759480023) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1790861813 |
| PAC ID by PECOS | 1759480023 |
| Professional Enrollment ID | I20070627000369 |
| Full Name | Iva S Ilic |
| Organization Legal Name | UNIVERSITY HEALTHCARE ALLIANCE |
| Address |
6475 Camden Ave Suite 105 San Jose CA 95120-2847 |
| Phone Number | 4089979155 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1996 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6305748799 |
| Number of Group Practice Members | 329 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050380 | GOOD SAMARITAN HOSPITAL |
| 050441 | STANFORD HEALTH CARE |
| Address | Phone | Organization |
|---|---|---|
| 6475 Camden Ave, Suite 105, San Jose, CA 95120-2847 | 4089979155 | UNIVERSITY HEALTHCARE ALLIANCE |
| Organization Legal Name | UNIVERSITY HEALTHCARE ALLIANCE |
| Physicians | 365 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua R Braslow | Family Medicine | University Healthcare Alliance | 100 A San Pablo Towne Ctr, San Pablo, CA 94806-3973 |
| Natalie Stephan | Family Medicine | University Healthcare Alliance | 15425 Los Gatos Blvd, Suite 120, Los Gatos, CA 95032-2541 |
| Allison Lee Remesz | Internal Medicine | University Healthcare Alliance | 14251 Winchester Blvd, Suite 200, Los Gatos, CA 95032-1811 |
| Rensina Kleinman | Nurse Practitioner | University Healthcare Alliance | 3100 Telegraph Ave, Suite 4103, Oakland, CA 94609-3285 |
| Melissa S Burroughs Pena | Cardiovascular Disease (cardiology) | University Healthcare Alliance | 20126 Stanton Ave, Suite 100, Castro Valley, CA 94546-5270 |
| Maki Matsumura | Nurse Practitioner | University Healthcare Alliance | 2160 Appian Way, Suite 200, Pinole, CA 94564-2565 |
| Elizabeth A Buescher | Obstetrics/gynecology | University Healthcare Alliance | 15151 National Ave, Suite 1, Los Gatos, CA 95032-2698 |
| Angelina Valencia | Qualified Audiologist | University Healthcare Alliance | 15861 Winchester Blvd, Los Gatos, CA 95030-3306 |
| Tracy L Taylor | Registered Dietitian Or Nutrition Professional | University Healthcare Alliance | 2433 Central Ave, Suite A, Alameda, CA 94501-4564 |
| Manjula Kamaraju | Family Medicine | University Healthcare Alliance | 1300 Crane St, Menlo Park, CA 94025-4260 |
| Street Address |
6475 CAMDEN AVE SUITE 105 |
| City | SAN JOSE |
| State | CA |
| Zip | 95120-2847 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin Michael Haggerty | Family Medicine | University Healthcare Alliance | 6475 Camden Ave, Suite 105, San Jose, CA 95120-2847 |
| Manika V Kaushal | Family Medicine | University Healthcare Alliance | 6475 Camden Ave, Suite 105, San Jose, CA 95120-2847 |
| Nicole L Lewis | Family Medicine | University Healthcare Alliance | 6475 Camden Ave, Suite 105, San Jose, CA 95120-2847 |
| David L Griffith | Family Medicine | University Healthcare Alliance | 6475 Camden Ave, Suite 105, San Jose, CA 95120-2847 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randall E Nelson | General Surgery | 5919 Porto Alegre Dr, San Jose, CA 95120-1752 | |
| Wayne Anthony Broberg | Physical Therapy | 6065 Meridian Ave, Suite 70, San Jose, CA 95120-2772 | |
| Karlo A Castillo | Physical Therapy | B.e.s.t. Physical Therapy A Prof Corp | 6155 Almaden Expy, Suite 150, San Jose, CA 95120-2781 |
| Chaula S Vakil | Physical Therapy | B.e.s.t. Physical Therapy A Prof Corp | 6155 Almaden Expy, Suite 150, San Jose, CA 95120-2781 |
| Kathleen Lynn Johnson | Physical Therapy | B.e.s.t. Physical Therapy A Prof Corp | 6155 Almaden Expy, Suite 150, San Jose, CA 95120-2781 |
| Roshni S Desai | Physical Therapy | B.e.s.t. Physical Therapy A Prof Corp | 6155 Almaden Expy, Suite 150, San Jose, CA 95120-2781 |
| Kinjal J Solani | Physical Therapy | B.e.s.t. Physical Therapy A Prof Corp | 6155 Almaden Expy, Suite 150, San Jose, CA 95120-2781 |
| Swathi Ramani | Physical Therapy | B.e.s.t. Physical Therapy A Prof Corp | 6155 Almaden Expy, Suite 150, San Jose, CA 95120-2781 |
| Hilary N Register | Physical Therapy | B.e.s.t. Physical Therapy | 6155 Almaden Expy, San Jose, CA 95120-2781 |
| Supriya Ameesh Maniar-oza | Physical Therapy | 6489 Camden Ave, Suite 109, San Jose, CA 95120-2850 | |
| Find all physicians in zip 95120 | |||
| City | SAN JOSE |
| Zip Code | 95120 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SAN JOSE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Iva S Ilic.
| 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.