Preventive Medicine Aerospace Medicine Health Providers - CALIFORNIA

2083A0100X - Preventive Medicine Aerospace Medicine

Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures.

List of 77 registered providers with a business address in California whose primary or secondary health provider taxonomy code is Preventive Medicine Aerospace Medicine, of which 1 are registered as organizations and 76 as individuals.

99% Individuals
1% Organizations
13% Female
86% Male
99% Individual Providers (76)1% Medical Organizations (1)13% Female Providers (10)86% Male Providers (66)

List of Providers

Provider Name Type AddressMedicarePECOS
PAUL T. ANTONYIndividual524 QUENTIN ROOSEVELT BLVD
SAN DIEGO, CA 92135
(202) 713-5440
Non-Participating ProviderNO
BRAEDEN C ARNOLDIndividual200 MERCY CIR ATTN: 22 AREA BRANCH CLINIC, BLDG 22190
OCEANSIDE, CA 92055
(760) 725-1288
Non-Participating ProviderYES
DEAN ALAN BAILEYIndividual3235 ALBACORE ALY NEPMU-5 OIC
SAN DIEGO, CA 92136
(619) 556-7070
Non-Participating ProviderNO
RYAN BAXTERIndividualNAVAL MEDICAL CTR 34800 BOB WILSON DRIVE
SAN DIEGO, CA 92134
(619) 532-5998
Non-Participating ProviderNO
GREGG ALEXANDER BENDRICKIndividual4822 MCKAY AVE NASA DRYDEN FLIGHT RESEARCH CENTER
EDWARDS, CA 93523
(661) 276-2258
Non-Participating ProviderNO
IRVIN S. BENOWITZIndividual191 S BUENA VISTA ST STE. 420
BURBANK, CA 91505
(818) 557-7399
Non-Participating ProviderYES
REBECCA G BERKEIndividualCOMNAVAIRFOR BOX 357051 NAS NI
SAN DIEGO, CA 92135
(619) 545-1148
Accepts MedicareYES
WILLIAM FRANK BRATHIndividual8930 S. SEPULVEDA BL. S-200
LOS ANGELES, CA 90045
(310) 641-8111
Non-Participating ProviderNO
JASON BURCHETTIndividual2315 STOCKTON BLVD # OP512
SACRAMENTO, CA 95817
(916) 734-2724
Non-Participating ProviderYES
KENT BURRIndividual101 BODIN CIR
TRAVIS AFB, CA 94535
(707) 423-3573
Accepts MedicareYES
DANILO OSORIO CANLASIndividual101 BODIN CIR
TRAVIS AFB, CA 94535
(707) 423-5423
Non-Participating ProviderYES
BAHMAN CHAVOSHANIndividual1050 LINDEN AVE GME THIRD FLOOR
LONG BEACH, CA 90813
(562) 491-9354
Accepts MedicareYES
WILLIAM K CHINIndividual34800 BOB WILSON DR NMCSD, ATTN: MEDICAL STAFF SERVICES
SAN DIEGO, CA 92134
(619) 532-6460
Non-Participating ProviderYES
DELBERT DAVID CLARKIndividual3020 CHILDRENS WAY
SAN DIEGO, CA 92123
(858) 966-8800
Non-Participating ProviderNO
ERIN BLAIRE COANIndividual34800 BOB WILSON DR
SAN DIEGO, CA 92134
(619) 532-6700
Non-Participating ProviderYES
CATHERINE COLEIndividual200 MERCY CIRCLE
CAMP PENDLETON, CA 92055
(760) 725-1288
Non-Participating ProviderNO
JOHN WRIGHT CULTONIndividual19025 WILEYS WELL RD
BLYTHE, CA 92225
(760) 922-9725
Non-Participating ProviderNO
DAVID CHRISTOPHER DANISHIndividual1555 SOQUEL DR ATTN: MEDICAL CREDENTIALLING DEPARTMENT
SANTA CRUZ, CA 95065
(831) 462-7509
Non-Participating ProviderYES
DARRYL GEORGE DEMARISIndividual2020 COURT ST
REDDING, CA 96001
(530) 243-1249
Accepts MedicareYES
JAMES JOSEPH DOYLEIndividual101 BODIN CIR
TRAVIS AFB, CA 94535
(707) 423-7300
Non-Participating ProviderNO
JAMES RANDALL ELLIOTTIndividual95 AMDS/SGP 55 N. WOLFE AVE.
EDWARDS AFB, CA 93524
(661) 277-1130
Non-Participating ProviderNO
ALAAELDEEN M. ELSAYED VON BAYREUTHIndividual101 BODIN CIR
TRAVIS AFB, CA 94535
(707) 423-7775
Non-Participating ProviderYES
FACULTY PHYSICIANS AND SURGEONS OF LLUSMOrganization24785 STEWART ST STE 111
LOMA LINDA, CA 92350
(909) 558-8459
Non-Participating ProviderNO
MICHAEL FEINBERGIndividual1350 ARROYICO LN
SANTA BARBARA, CA 93108
(805) 969-4117
Non-Participating ProviderYES
STEVEN R FRANCISIndividual61ST MEDICAL SQUADRON 483 N. AVIATION BLVD BLDG 210
EL SEGUNDO, CA 90245
(702) 653-2764
Non-Participating ProviderNO
JOEL ANDREW FULKERSONIndividualBLDG 22190
CAMP PENDLETON, CA 92058
(760) 725-2969
Non-Participating ProviderNO
LOUIS GEORGE GILLERANIndividual50 ROSECRANS ST SWMI, BLDG 500 NAVAL SUBMARINE BASE SAN DIEGO
SAN DIEGO, CA 92106
(619) 553-0097
Non-Participating ProviderNO
BAILEY GRIMSLEYIndividual601 MCCAIN BLVD
CORONADO, CA 92118
(619) 545-6210
Non-Participating ProviderNO
MATTHEW P HARPERIndividual275 HOSPITAL DR
UKIAH, CA 95482
(415) 580-5154
Accepts MedicareYES
ALEXANDER DOMINIC JOBRACKIndividual15301 WARREN SHINGLE RD
BEALE AFB, CA 95903
(530) 634-4662
Non-Participating ProviderYES
EDWARD JOHNSONIndividual473 CABRILLO ST BLDG 422
MONTEREY, CA 93944
(831) 242-7990
Non-Participating ProviderNO
DANIEL THOR JOHNSTONIndividual292 POSADA LN
TEMPLETON, CA 93465
(805) 239-1622
Non-Participating ProviderYES
RICHARD A KEMPIndividual937 FRANKLIN AVE
LEMOORE, CA 93246
(559) 998-4445
Non-Participating ProviderNO
CHRISTOPHER T KUZNIEWSKIIndividualCOMNAVAIRFOR BOX 357051 NAS NI
SAN DIEGO, CA 92135
(619) 545-1148
Non-Participating ProviderYES
BRIAN EDWARD LAAKANIEMIIndividual56 ROSSMORE
IRVINE, CA 92620
(225) 358-3940
Accepts MedicareYES
MICHELLE LEEIndividual101 BODIN CIR
TRAVIS AFB, CA 94535
(707) 423-7342
Non-Participating ProviderYES
PETER LENNOXIndividual60 OMRS/SGXU 101 BODIN CIRCLE
TRAVIS AFB, CA 94535
(707) 423-3987
Non-Participating ProviderYES
DANIEL LIDDELLIndividual22 AREA MARINE CENTERED MEDICAL HOME BLDG 22190
CAMP PENDLETON, CA 92055
(760) 725-3784
Non-Participating ProviderNO
BROCK ALLEN MASONIndividual1400 E CHURCH ST
SANTA MARIA, CA 93454
(480) 209-3565
Accepts MedicareYES
SEAN CHRISTOPHER MCCARTHYIndividual101 BODIN CIR
TRAVIS AFB, CA 94535
(919) 440-1496
Accepts MedicareYES
JAMES MICHAEL MEDEIROSIndividual30 NIGHTINGALE RD BLDG 5525
EDWARDS AFB, CA 93524
(661) 275-2750
Non-Participating ProviderNO
PATRICK MILESIndividual20 S SANTA CRUZ AVE STE 300
LOS GATOS, CA 95030
(408) 890-6648
Non-Participating ProviderNO
NATALIE CATHARINE MONIAGAIndividual101 THE CITY DR S STE 800
ORANGE, CA 92868
(714) 456-8224
Accepts MedicareYES
JONATHAN MASAMI MORIIndividual15301 WARREN SHINGLE RD
BEALE AFB, CA 95903
(530) 634-4662
Non-Participating ProviderYES
BENJAMIN B MORRISIndividual101 BODIN CIR
FAIRFIELD, CA 94535
(707) 423-3000
Non-Participating ProviderYES
WAYNE THOMAS MURPHYIndividual200 MERCY CIRCLE
CAMP PENDLETON, CA 92055
(760) 719-3205
Non-Participating ProviderNO
DANIEL HUGH MURRAYIndividual101 BODIN CIR
TRAVIS AFB, CA 94535
(707) 423-5440
Non-Participating ProviderNO
JUSTIN BRADLEY NASTIndividual2470 HILBORN RD STE 100
FAIRFIELD, CA 94534
(707) 646-4600
Non-Participating ProviderYES
TIMOTHY RENFREW OELTMANNIndividualMARINE AIRCRAFT GROUP 39 MEDICAL
CAMP PENDLETON, CA 92055
(760) 365-2969
Opted out of MedicareYES
TIMOTHY WAYNE O'HARAIndividual3235 ALBACORE ALY
SAN DIEGO, CA 92136
(619) 556-7070
Non-Participating ProviderNO
LOGAN ROBERT OLIVERIndividual34800 BOB WILSON DR
SAN DIEGO, CA 92134
(619) 532-8225
Non-Participating ProviderYES
TIMOTHY R PAULDINGIndividual26357 MCBEAN PKWY
VALENCIA, CA 91355
(661) 222-2643
Non-Participating ProviderNO
ROBERT MILTON PAULLIndividual5044 N BARTON AVE HC 81
FRESNO, CA 93740
(559) 278-6715
Non-Participating ProviderNO
LISA A PETERSONIndividual34800 BOB WILSON DR NAVAL MEDICAL CENTER SAN DIEGO
SAN DIEGO, CA 92134
(619) 532-8225
Non-Participating ProviderNO
YOLANTA PETROFSKYIndividual2470 HILBORN ROAD SUITE 110
FAIRFIELD, CA 94534
(707) 646-4699
Non-Participating ProviderNO
PENGSE POIndividualNAVAL MEDICAL CENTER SAN DIEGO 38400 BOB WILSON DR
SAN DIEGO, CA 92134
(781) 244-8817
Non-Participating ProviderNO
LUIS RAUL RIVEROIndividualWEED ARMY COMMUNITY HOSPITAL 390 NORTH LOOP ROAD
FORT IRWIN, CA 92310
(760) 383-5004
Non-Participating ProviderNO
PAUL VINCENT ROCERETOIndividual3110 CAMINO DEL RIO S
SAN DIEGO, CA 92108
(858) 522-8585
Non-Participating ProviderNO
JULIANA RODRIGUEZ BOHORQUEZIndividual2496 BAUER RD
SAN DIEGO, CA 92126
(619) 881-9011
Non-Participating ProviderNO
RICHARD RUBINIndividual101 BODIN CIR
TRAVIS AFB, CA 94535
(707) 423-7295
Non-Participating ProviderYES
HENRY JONATHAN SCHWARTZIndividual3559 ROUND BARN BLVD ENDOCRINOLOGY
SANTA ROSA, CA 95403
(707) 571-3957
Non-Participating ProviderYES
NORMAN FRANKLIN SEIDENVERGIndividual2030 AIRPORT RD
NAPA, CA 94558
(707) 253-8050
Non-Participating ProviderNO
JAMES DAFFIN SENECHALIndividual4560 ADMIRALTY WAY STE 100
MARINA DEL REY, CA 90292
(310) 827-3700
Accepts MedicareYES
U.A. GARRED SEXTONIndividual3623 W 227TH ST
TORRANCE, CA 90505
(310) 373-3989
Non-Participating ProviderNO
JOHN C SIMSIndividual2496 BAUER ROAD MCAS MIRAMAR
SAN DIEGO, CA 92145
(858) 577-1727
Non-Participating ProviderNO
DAVID JOTHAM SNELLIndividual475-750 RICE CANYON ROAD MEDICAL ADMINISTRATION
SUSANVILLE, CA 96127
(530) 251-5100
Non-Participating ProviderNO
KOURTNI STARKEYIndividual15301 WARREN SHINGLE RD
BEALE AFB, CA 95903
(530) 634-4662
Non-Participating ProviderNO
MATTHEW DAVID TADLOCKIndividual200 W ARBOR DR
SAN DIEGO, CA 92103
(800) 926-8273
Accepts MedicareYES
WILLARD MARTIN TOWLEIndividual10333 EL CAMINO REAL
ATASCADERO, CA 93423
(805) 468-2000
Accepts MedicareYES
DAI A TRANIndividual9397 HOMESTEAD DR
RANCHO CUCAMONGA, CA 91730
(850) 867-1147
Non-Participating ProviderYES
NGUYEN VINH TOAN TRANIndividual3808 E SUMMITRIDGE LN
ORANGE, CA 92867
(714) 944-8511
Non-Participating ProviderYES
JON THOMAS UMLAUFIndividual4647 ZION AVE
SAN DIEGO, CA 92120
(206) 616-5781
Accepts MedicareYES
KELLY NEIL WESTIndividual9TH MEDICAL GROUP 15301 WARREN SHINGLE ROAD
BEALE AFB, CA 95903
(530) 634-4935
Non-Participating ProviderNO
WESLEY OWEN YEACKLEIndividual4263 OCEANSIDE BLVD SUITE #106-163
OCEANSIDE, CA 92056
(760) 277-5214
Accepts MedicareYES
MARVIN WESLEY ZAHLERIndividual34800 BOB WILSON DR
SAN DIEGO, CA 92134
(619) 545-0395
Accepts MedicareYES

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