Joshua Lucas Ninichuck (NPI# 1164651121, PAC ID# 6507005105) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1164651121 |
| PAC ID by PECOS | 6507005105 |
| Professional Enrollment ID | I20161020002433 |
| Full Name | Joshua Lucas Ninichuck |
| Organization Legal Name | MISSION PEAK ORTHOPAEDIC MEDICAL GROUP, INC |
| Address |
27206 Calaroga Ave Suite 107 Hayward CA 94545-4300 |
| Phone Number | 5103009898 |
| Gender | M |
| Graduation Year | 2009 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9739165705 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050002 | ST ROSE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 27206 Calaroga Ave, Suite 107, Hayward, CA 94545-4300 | 5103009898 | MISSION PEAK ORTHOPAEDIC MEDICAL GROUP, INC |
| Organization Legal Name | MISSION PEAK ORTHOPAEDIC MEDICAL GROUP, INC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Soheil Motamed | Orthopedic Surgery | Mission Peak Orthopaedic Medical Group, Inc | 39350 Civic Ctr Dr, Suite 300, Fremont, CA 94538-2331 |
| Ricardo Molina | Orthopedic Surgery | Mission Peak Orthopaedic Medical Group, Inc | 39350 Civic Ctr Dr, Suite 300, Fremont, CA 94538-2331 |
| Ashay A Kale | General Practice | Mission Peak Orthopaedic Medical Group, Inc | 39350 Civic Ctr Dr, Suite 300, Fremont, CA 94538-2331 |
| Gabriel Vangompel | Podiatry | Mission Peak Orthopaedic Medical Group, Inc | 39350 Civic Ctr Dr, Suite 300, Fremont, CA 94538-2331 |
| Joshua Robert Vangompel | Podiatry | Mission Peak Orthopaedic Medical Group, Inc | 39350 Civic Ctr Dr, Suite 300, Fremont, CA 94538-2331 |
| Kelli R Kern | Physician Assistant | Mission Peak Orthopaedic Medical Group, Inc | 27206 Calaroga Ave, Suite 107, Hayward, CA 94545-4300 |
| Co V Banh | Physical Medicine and Rehabilitation | Mission Peak Orthopaedic Medical Group, Inc | 39350 Civic Ctr Dr, Suite 300, Fremont, CA 94538-2331 |
| Rickey Young | Physical Therapy | Mission Peak Orthopaedic Medical Group, Inc | 39350 Civic Ctr Dr, Suite 300, Fremont, CA 94538-2331 |
| Sarah A Wanlin | Physical Therapy | Mission Peak Orthopaedic Medical Group, Inc | 39350 Civic Ctr Dr, Suite 300, Fremont, CA 94538-2331 |
| Ava M Novotny | Physician Assistant | Mission Peak Orthopaedic Medical Group, Inc | 27206 Calaroga Ave, Suite 107, Hayward, CA 94545-4300 |
| Street Address |
27206 CALAROGA AVE SUITE 107 |
| City | HAYWARD |
| State | CA |
| Zip | 94545-4300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vishal D Ghevariya | Gastroenterology | Gastroenterology Specialists Medical Group Inc A Medical Corporation | 27206 Calaroga Ave, Suite 212, Hayward, CA 94545-4300 |
| Vasiliki Economou | Neurology | 27206 Calaroga Ave, Suite 104, Hayward, CA 94545-4300 | |
| Anne Suching Yu | Nephrology | Chabot Nephrology Medical Group Inc | 27206 Calaroga Ave, Suite 105, Hayward, CA 94545-4300 |
| Ashwani K Bindal | Internal Medicine | 27206 Calaroga Ave, Suite 201, Hayward, CA 94545-4300 | |
| Alexander Kopelnik | Cardiovascular Disease (cardiology) | Dr Aditya Jain Md Inc | 27206 Calaroga Ave, Suite 205, Hayward, CA 94545-4300 |
| Yvonne Y Chen | Nephrology | Chabot Nephrology Medical Group Inc | 27206 Calaroga Ave, Suite 105, Hayward, CA 94545-4300 |
| Hamoudi Al Bander | Nephrology | Chabot Nephrology Medical Group Inc | 27206 Calaroga Ave, Suite 105, Hayward, CA 94545-4300 |
| Archana Aggarwal | Nephrology | Chabot Nephrology Medical Group Inc | 27206 Calaroga Ave, Suite 105, Hayward, CA 94545-4300 |
| Gwendolen Y Chang | Nephrology | Chabot Nephrology Medical Group Inc | 27206 Calaroga Ave, Suite 105, Hayward, CA 94545-4300 |
| Norman L Cheung | Orthopedic Surgery | 27206 Calaroga Ave, Suite 120, Hayward, CA 94545-4300 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hagop Thomas Hakimian | Chiropractic | 24309 Southland Dr, Hayward, CA 94545-1517 | |
| Xiaochuan Chen | Internal Medicine | 1090 La Playa Dr, Hayward, CA 94545-2142 | |
| Daniel R Mantuani | Emergency Medicine | Alameda Health Partners Inc | 664 Southland Mall, Hayward, CA 94545-2150 |
| Michael S Lynn | Emergency Medicine | Alameda Health Partners Inc | 664 Southland Mall, Hayward, CA 94545-2150 |
| Tamsin H Levy | Internal Medicine | Alameda Health Partners Inc | 664 Southland Mall, Hayward, CA 94545-2150 |
| Kerry-ann A Kelly | Obstetrics/gynecology | Alameda Health Partners Inc | 664 Southland Mall, Hayward, CA 94545-2150 |
| Lilavati A Indulkar | Internal Medicine | Alameda Health Partners Inc | 664 Southland Mall, Hayward, CA 94545-2150 |
| Srilekha Puranam | Internal Medicine | Alameda Health System | 664 Southland Mall, Hayward, CA 94545-2150 |
| Shraddha Prakash | Rheumatology | Alameda Health Partners Inc | 664 Southland Mall, Hayward, CA 94545-2150 |
| Anupama T Raikanti | Internal Medicine | Alameda Health Partners Inc | 664 Southland Mall, Hayward, CA 94545-2150 |
| Find all physicians in zip 94545 | |||
| City | HAYWARD |
| Zip Code | 94545 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | HAYWARD + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Joshua Lucas Ninichuck.
| 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.