Jean Pierre Phancao (NPI# 1215054416, PAC ID# 9830298744) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1215054416 |
| PAC ID by PECOS | 9830298744 |
| Professional Enrollment ID | I20070618000442 |
| Full Name | Jean Pierre Phancao |
| Organization Legal Name | CALIFORNIA ADVANCED IMAGING MEDICAL ASSOCIATES, INC. |
| Address |
5176 Hill Rd E Lakeport CA 95453-6300 |
| Phone Number | 7072625011 |
| Gender | M |
| Credential | MD |
| Medical School | TUFTS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 0244144228 |
| Number of Group Practice Members | 84 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050360 | MARIN GENERAL HOSPITAL |
| 051329 | SUTTER LAKESIDE HOSPITAL |
| 280129 | NEBRASKA ORTHOPAEDIC HOSPITAL |
| 050131 | NOVATO COMMUNITY HOSPITAL |
| 050090 | SONOMA VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3301 El Camino Real, Suite 100, Atherton, CA 94027-3803 | 2014882660116 | NEW CENTURY IMAGING LLC |
| 1260 S Elideo Dr, Fl2, Greenbrae, CA 94904-2009 | 4158979664 | PRIMA MEDICAL FOUNDATION |
| 72 -124 Hali'ipua Place, Unit 12, Kailua-kona, HI 96745 | 8083335809 | CALIFORNIA ADVANCED IMAGING MEDICAL ASSOCIATES, INC. |
| 5176 Hill Rd E, Lakeport, CA 95453-6300 | 7072625011 | CALIFORNIA ADVANCED IMAGING MEDICAL ASSOCIATES, INC. |
| 2808 S 143rd Plaza, Omaha, NE 65144-5611 | 4026091800 | CALIFORNIA ADVANCED IMAGING MEDICAL ASSOCIATES, INC. |
| 555 Kinderkamack Rd, Oradell, NJ 07649-1517 | 2015991311 | NEW CENTURY IMAGING LLC |
| 681 Arguello Blvd, Apt 5, San Francisco, CA 94118-4037 | 2014882660116 | NEW CENTURY IMAGING LLC |
| Organization Legal Name | CALIFORNIA ADVANCED IMAGING MEDICAL ASSOCIATES, INC. |
| Physicians | 88 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deddeh Monique Ballah | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 600 Marine Blvd, Moss Beach, CA 94038-9641 |
| Neil Hemant Thakur | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 347 Andrieux St, Sonoma, CA 95476-6811 |
| Dennis S Orwig | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 180 Rowland Way, Novato, CA 94945-5009 |
| Avanti Ambekar | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 935 El Camino Real, Suite 101, South San Francisco, CA 94080-3203 |
| Kelly R. Lindauer | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 23004 Whipsering Woods, Golden, CO 80401-8038 |
| Edward L Baker | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 3555 Cesar Chavez, San Francisco, CA 94110-4403 |
| Jana M Crain | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 863 Corriente Point Dr, Redwood City, CA 94065-1284 |
| Betsy A Holland | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 1260 S Eliseo Dr, Suite 101, Greenbrae, CA 94904-2009 |
| Harriet B Borofsky | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 3700 California St, San Francisco, CA 94118-1618 |
| Clay Napper | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 3700 California St, San Francisco, CA 94118-1618 |
| Street Address |
5176 HILL RD E |
| City | LAKEPORT |
| State | CA |
| Zip | 95453-6300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria W House | General Surgery | Surgical Affiliates of California | 5176 Hill Rd E, Lakeport, CA 95453-6300 |
| Anand G Nataraj | Emergency Medicine | San Francisco Emergency Medical | 5176 Hill Rd E, Lakeport, CA 95453-6300 |
| David Ray Racker | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 5176 Hill Rd E, Lakeport, CA 95453-6300 |
| John Alvar Sundin | General Surgery | Sutter Bay Hospitals | 5176 Hill Rd E, Lakeport, CA 95453-6300 |
| Mary E Andich | Nurse Practitioner | San Francisco Emergency Medical | 5176 Hill Rd E, Lakeport, CA 95453-6300 |
| Naveen Maramreddy | Hospitalist | Farallon Inpatient Medical Group Inc | 5176 Hill Rd E, Lakeport, CA 95453-6300 |
| Amanda L Smithers | Physician Assistant | Sutter Bay Hospitals | 5176 Hill Rd E, Lakeport, CA 95453-6300 |
| Tony D Veletto | Internal Medicine | Farallon Inpatient Medical Group Inc | 5176 Hill Rd E, Lakeport, CA 95453-6300 |
| Thomas L Lawson | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 5176 Hill Rd E, Lakeport, CA 95453-6300 |
| William Davis Duge | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 5176 Hill Rd E, Lakeport, CA 95453-6300 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Alwyn Jameson | Chiropractic | 930 11th St, Lakeport, CA 95453-4104 | |
| Geoffrey L Rice | Ophthalmology | Ukiah Adventist Hospital | 475 N Forbes St, Lakeport, CA 95453-4725 |
| Joanne M Lamonica | Urology | Ukiah Adventist Hospital | 475 N Forbes St, Lakeport, CA 95453-4725 |
| Randall E Woesner | Ophthalmology | Ukiah Adventist Hospital | 475 N Forbes St, Lakeport, CA 95453-4725 |
| Alanna Lee Wargula | Podiatry | Parkview Podiatry | 175 Park St, Lakeport, CA 95453-4803 |
| Katherine Andre | Psychologist, Clinical | 75 4th St, Lakeport, CA 95453-4804 | |
| Allison Jill Aclufi | Clinical Psychologist | 380 N Main St J, Lakeport, CA 95453-4845 | |
| Erin Alice Dailey | Psychologist, Clinical | 149 N Main St, Suite 200, Lakeport, CA 95453-4846 | |
| Mark L Buehnerkemper | Optometry | 120 S Main St, Lakeport, CA 95453-5017 | |
| David L Browning | Optometry | 225 S Main St, Lakeport, CA 95453-5018 | |
| Find all physicians in zip 95453 | |||
| City | LAKEPORT |
| Zip Code | 95453 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | LAKEPORT + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Jean Pierre Phancao.
| 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.