Participant Provider List
| Provider Name | NPI | Address | City | State | Zip |
|---|---|---|---|---|---|
| DANNY SEGURA | 1790221398 | 801 S Chevy Chase Dr, Suite 250 | Glendale | California | 91205 |
| KAREN DECLUE | 1174858534 | 5059 York Blvd | Highland Park | California | 90045 |
| MANUEL UMANZOR | 1871668152 | 801 S Chevy Chase Dr, Suite 250 | Glendale | California | 91205 |
| MANAR MICHAEL | 1407800188 | 12157 Victory Blvd. | North Hollywood | California | 91606 |
| NATASHA GERMAIN | 1093164808 | 12157 Victory Blvd. | North Hollywood | California | 91606 |
| HENRY BARRAZA | 1417043340 | 1704 Colorado Blvd | Eagle Rock | California | 90042 |
| RACHELLE CAYAGO | 1689826463 | 1704 Colorado Blvd | Eagle Rock | California | 90042 |
| ARAKSYA KOUPALIAN | 1619927696 | 8316 Foothill Blvd | Sunland | California | 91040 |
| KENNETH THOMPSON | 1609112192 | 8316 Foothill Blvd | Sunland | California | 91040 |
| SEHGAL MEDICAL CORPORATION | - | 7901 Walker Street | La Palma | California | 90241 |
| RAFAELITO VICTORIA | 1548363989 | 5451 La Palma Ave Ste 15 | La Palma | California | 90623 |
| VICTORIA MEDICAL, INC. | - | 5451 La Palma Ave Ste 15 | La Palma | California | 90623 |
| ARUNPAL SEHGAL | 1801904099 | 7901 Walker Street | La Palma | California | 90241 |
| SHIVANAND R POLE MD INC | - | 3851 Katella Ave Ste 305 | Los Alamitos | California | 90720 |
| SHIVANAND POLE | 1477737369 | 3851 Katella Ave Ste 305 | Los Alamitos | California | 90720 |
| PARAMJOT MANN | 1518072123 | 7901 Walker Street | La Palma | California | 90241 |
| PRIORITY CARE MEDICAL GROUP | - | 5471 La Palma Ave Suite 105 | La Palma | California | 90623 |
| JEFF HUANG | 1124122551 | 5471 La Palma Ave Suite 105 | La Palma | California | 90623 |
| GHULAM Y. DOSTZADA, M.D, INC | - | 5300 Katella Ave | Los Almitos | California | 90720 |
| GHULAM DOSTZADA | 1093778649 | 5300 Katella Ave | Los Almitos | California | 90720 |
| AHMED BADR | 1508818253 | 3055 West Orange Ave Ste 103 | Anaheim | California | 92804 |
| TRICIA ALIAZIS | 1225670557 | 7901 Walker Street | La Palma | California | 90241 |
| KRISTEN LEE | 1649216789 | 3525 N University | St Peoria | Illinois | 61604 |
| KALPANABEN PATEL | 1881306827 | 3525 N University | St Peoria | Illinois | 61604 |
| MELISSA NORRIS | 1124304407 | 3535 N University St | Peoria | Illinois | 61604 |
| SHRONDA PHILLIPS | 1780231969 | 3525 N University St | Peoria | Illinois | 61604 |
| BRANDI DOERFLEIN | 1750064838 | 3525 N University St | Peoria | Illinois | 61604 |
| SOLVERA HEALTHCARE CENTER INC | - | 3525 N University St | Peoria | Illinois | 61604 |
| SAMUEL FOX | 1881891240 | 3525 N University St | Peoria | Illinois | 61604 |
| SERAFINO SAURO | 1457846834 | 3525 N University St | Peoria | Illinois | 61604 |
| GEORGE GILBERT | 1215021100 | 3525 N University St | Peoria | Illinois | 61604 |
| JULIO SANTIAGO | 1144216185 | 256 S Soangetaha Rd | Galesburg | Illinois | 61401 |
| CHRISTOPHER HANSON | 1447514971 | 721 S Lewis Ln | Carbondale | Illinois | 62901 |
| SHIHAB RABH | 1831539154 | 2700 Robert T. Longway Blvd. | Flint | Michigan | 48503 |
| ERIN ROHLFING | 1730872763 | 5494 S. DORT HWY | Flint | Michigan | 48519 |
| ASHLEY SPRINKLE | 1629855580 | 2700 ROBERT T. LONGWAY BLVD. SUITE B | Flint | Michigan | 48503 |
| ALLISON SUTTER | 1811750805 | 2065 S. CENTER RD. BURTON | Flint | Michigan | 48519 |
| COURTNEY WELKER | 1003520909 | 2065 S. CENTER RD. BURTON | Flint | Michigan | 48519 |
| EMILY NICHOLAS | 1780461814 | 1125 S. LINDEN RD SUITE 900 | Flint | Michigan | 48532 |
| FAITH STEWART | 1740911486 | 911 E. Nine Mile Road | Ferndale | Michigan | 48220 |
| MARTA HERNADI | 1932860806 | 911 E. Nine Mile Road | Ferndale | Michigan | 48220 |
| JESSICA SCHULTE | 1659942357 | 911 E Nine Mile Road | Ferndale | Michigan | 48220 |
| RENOVIS CARE COMPANY | - | 26677 W 12 Mile Road | Southfield | Michigan | 48034 |
| HUI WANG | 1720674146 | 26677 W 12 Mile Road | Southfield | Michigan | 48034 |
| SANJULA SURESH | 1386015451 | 26677 W 12 Mile | Southfield | Michigan | 48034 |
| ANGELA EBURUCHE | 1831595040 | 26677 W 12 Mile | Southfield | Michigan | 48034 |
| FRANK ZUZIAK | 1790248821 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| KELLY WRIGHT | 1972021319 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| EARNEST WILLIAMS | 1891435798 | 17330 Northland Pk Ct | Southfield | Michigan | 48075 |
| KARA WERTZ | 1477209757 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| SHANNON WEBSTER | 1790006682 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| DAVID WASHINGTON | 1104953439 | 20755 Greenfield #203 | Southfield | Michigan | 48075 |
| PAMELA VALKA | 1174521207 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| BONIFACE TUBIE | 1821144577 | 20755 Greenfield #203 | Southfield | Michigan | 48075 |
| ALLEN TOUBIA | 1750973244 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| SUSAN TAM | 1801873237 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| HORIZON CARE MEDICAL GROUP | - | 23077 Greenfield, Suite 156 | Southfield | Michigan | 48075 |
| ANTHONY SPEARMAN | 1639453228 | 23077 Greenfield, Suite 156 | Southfield | Michigan | 48075 |
| ACHRAF SLIM | 1689962136 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| ESTHER SELIK | 1205301678 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| ESTHER ROGERS | 1184998528 | 17330 Northland Pk Ct | Southfield | Michigan | 48075 |
| OSAMA QAQI | 1508094210 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| JENNIFER PONKOWSKI | 1811546229 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| OLUKAYODE ODUWOLE | 1306984711 | 17330 Northland Pk Ct | Southfield | Michigan | 48075 |
| MOHAMED NASSER | 1558890277 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| TED NAMAN | 1730156050 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| GREG NAMAN | 1265493498 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| ERIC MOZURKEWICH | 1801493747 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| MATTHEW LUTTRELL | 1821369497 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| HELPING HANDS THERAPY LLC | - | 26105 Orchard Lake | Farmington Hills | Michigan | 48334 |
| MICHELE LENO | 1770818577 | 26105 Orchard Lake | Farmington Hills | Michigan | 48334 |
| MEGAN LENNOX | 1134883986 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| ASHOK KONDUR | 1508819434 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| ELIAS KASSAB | 1922076835 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| EYAS KANAAN | 1770992976 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| PETER KALABAT | 1003900903 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| ROSILIN JOSEPH | 1518626902 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| VICKI JOHNSON | 1942495361 | 20755 Greenfield #203 | Southfield | Michigan | 48075 |
| CHARMAINE HUDSON | 1780307082 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| DONALD HARDMAN | 1013906700 | 3499 S. Linden Rd #2 | Flint | Michigan | 48506 |
| LIISA HARDING | 1578038188 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| KIMBERLY HAGGERTY | 1841884384 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| DINA GRODZINSKIY | 1235513730 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| ROCELIOUS GOODSON | 1992863872 | 17330 Northland Pk Ct | Southfield | Michigan | 48075 |
| ROCELIOUS GOODSON | 1992863872 | 6 Parklane Blvd | Dearborn | Michigan | 48126 |
| HENRI GODBOLD | 1407012834 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| MARY GIRJIS | 1972108231 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| SCOTT GARAVAGLIA | 1821551680 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| CHRISTOPHER GADOUA | 1295132926 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| HOZEFA EZZI | 1255932463 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| FRANCINE ELLISON | 1194103390 | 17330 Northland Pk Ct | Southfield | Michigan | 48075 |
| LEONARD ELLISON JR MD PC | - | 17330 Northland Pk Ct | Southfield | Michigan | 48075 |
| LEONARD ELLISON | 1679575328 | 17330 Northland Pk Ct | Southfield | Michigan | 48075 |
| CHELSEY EISENGA | 1699309690 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| NORAH DUNCAN | 1144583832 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| GANESH DESHMUKH | 1619950631 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| RTS PRACTITIONER STAFFING SERVICE LLC | - | 21701 W. 11 Mile Road #5 | Southfield | Michigan | 48076 |
| YOLANDA CUFF | 1215385851 | 21701 W. 11 Mile Road #5 | Southfield | Michigan | 48076 |
| DAVID CRISS MD PC | - | 23077 Greenfield Rd Ste 190 | Southfield | Michigan | 48075 |
| DAVID CRISS | 1326110305 | 23077 Greenfield Rd Ste 190 | Southfield | Michigan | 48075 |
| STACEY COUCH | 1215690458 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| NISHIT CHOKSI | 1992764641 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| KAITLYN CHEEDIE | 1710538947 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| WON CHAE | 1831192640 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| DEENA CHABAAN | 1134610207 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| EVERETT V BRYANT MD PLLC | - | 6 Parklane Blvd | Dearborn | Michigan | 48126 |
| EVERETT BRYANT | 1982750881 | 6 Parklane Blvd | Dearborn | Michigan | 48126 |
| CHANTALE BOTHUELL | 1457566341 | 2424 Fordham St | Keego Harbor | Michigan | 48320 |
| SONELA BLACERI | 1942640347 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| JENNIFER BALINT | 1417478025 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| HASSAN BAIZ | 1124553011 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| AMBER KALABAT | 1780111575 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| INNOCENT AGBASSI | 1922053636 | 15357 Farmington Rd | Livonia | Michigan | 48154 |
| I & L PROFESSIONAL MEDICAL SERVICES | - | 15357 Farmington Rd | Livonia | Michigan | 48154 |
| LAWANDA AGBASSI | 1083638993 | 15357 Farmington Rd | Livonia | Michigan | 48154 |
| EXCLUSIVE PHYSICIANS PLLC | - | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| ADEWUNMI ADEYEMO | 1427289883 | 911 E Nine Mile Rd | Ferndale | Michigan | 48220 |
| DELTA RENAL GROUP PC | - | 20755 Greenfield #203 | Southfield | Michigan | 48075 |
| JUDITH ADAMS | 1679625321 | 20755 Greenfield #203 | Southfield | Michigan | 48075 |
| ROXANNE KLENK | 1891192654 | 1125 S. Linden Rd. | Flint | Michigan | 48532 |
| TIMETRICE BENSON | 1780329813 | 1125 S. Linden Rd. | Flint | Michigan | 48532 |
| SINCLAIRE CHAPMAN | 1063063170 | 2700 Robert T. Longway Blvd. | Flint | Michigan | 48503 |
| SHARON ODUM | 1164415949 | 2700 Robert T. Longway Blvd. | Flint | Michigan | 48503 |
| SEIF SAEED | 1598753568 | 2065 S. Center Rd. | Burton | Michigan | 48519 |
| RANDI BALLARD DICKERSON | 1164982229 | 2065 S. Center Rd. | Burton | Michigan | 48519 |
| MOHAMED GISMALLA | 1992290613 | 2065 S. Center Rd. | Burton | Michigan | 48519 |
| MOHAMED ABUHARAZ | 1427005123 | 1125 S. Linden Rd. | Flint | Michigan | 48532 |
| MARGARET NOGER | 1366997520 | 5494 S. Dort Hwy | Flint | Michigan | 48507 |
| KHALID AHMED | 1619965175 | 2700 Robert T. Longway Blvd. | Flint | Michigan | 48503 |
| KATHERINE VANDERLAAN | 1255605283 | 2065 S. Center Rd. | Burton | Michigan | 48519 |
| JOYCE STEVENS | 1346332400 | 5494 S. Dort Hwy | Flint | Michigan | 48507 |
| JONATHAN EDGETTE | 1306562764 | 5494 S. Dort Hwy | Flint | Michigan | 48507 |
| MUHAMMAD AMIN | 1982099503 | 2065 S. Center Rd. | Burton | Michigan | 48519 |
| CHERRELL SHELLS | 1033410451 | 2700 Robert T. Longway Blvd. | Flint | Michigan | 48503 |
| BRADLEY CENTALA | 1194477075 | 5494 S. Dort Hwy | Flint | Michigan | 48507 |
| ANAS SALIH | 1508251539 | 2065 S. Center Rd. | Burton | Michigan | 48519 |
| ADNAN ALDURAH | 1811302227 | 2700 Robert T. Longway Blvd. | Flint | Michigan | 48503 |
| PHYSICIAN COVERAGE SERVICES PC | - | 2700 Robert T. Longway Blvd. | Flint | Michigan | 48503 |
| SALVATORE TRAZZERA | 1568469757 | 160 4th St | Brentwood | New York | 11717 |
| AKISHA WILSON-PORTER | 1861860611 | 160 4th St | Brentwood | New York | 11717 |
| PAUL BONHEIM | 1235139775 | 160 4th St | Brentwood | New York | 11717 |
| VR LEDDY, M.D., P.C. | - | 160 Fourth St | Brentwood | New York | 11717 |
| STEPHANIE TOMICH | 1861636516 | 625 Montauk Hwy Center | Moriches | New York | 11934 |
| RICHARD CLONEY | 1891269619 | 625 Montauk Hwy Center | Moriches | New York | 11934 |
| CANDICE KING | 1871902767 | 625 Montauk Hwy Center | Moriches | New York | 11934 |
| DANITA IONESCU | 1538244231 | 365 Broadway Suite1 | Amityville | New York | 11701 |
| DANIEL OGBOVOH | 1780789727 | 1827 Madison Ave | NY | New York | 10035 |
| CALOGERO TUMMINELLO | 1346239969 | 7817 Metropolitian Ave | Middle Village | New York | 11379 |
| CALOGERO C TUMMINELLO MD PC | - | 7817 Metropolitian Ave | Middle Village | New York | 11379 |
| DAVID GOLDMAN | 1952377707 | 625 Montauk Hwy | Center Moriches | New York | 11934 |
| ENRICO DANGELO | 1316030364 | 3117 Buhre Ave | Bronx | New York | 10461 |
| SOUTH BAY MEDICAL CARE P.C. | - | 625 Montauk Hwy Center | Moriches | New York | 11934 |
| AMBER HASSAN | 1720220544 | 602 Morris Ave | Bronx | New York | 10451 |
| VINCENT LEDDY | 1538201231 | 160 4th St | Brentwood | New York | 11717 |
| ALL FAMILY MEDICINE PC | - | 365 Broadway Suite 1 | Amityville | New York | 11701 |
| MORRIS MEDICAL OFFICE,PC | - | 602 Morris Ave | Bronx | New York | 10451 |
| IFFAT SADIQUE | 1104845155 | 3099 Coney Island Ave | Brooklyn | New York | 11235 |
| ELIZABETH LEE REY | 1457421653 | 2426 Eastchester road | Bronx | New York | 10469 |
| SAMUEL MENSAH | 1619980851 | 58 E. Kingsbridge Road | Bronx | New York | 10468 |
| OKYENIBA MEDICAL PC | - | 58 E. Kingsbridge Road | Bronx | New York | 10468 |
| BARRY BAKER | 1619078086 | 3665 E. Tremont Ave | Bronx | New York | 10465 |
| NATALIE BIRCH | 1831561828 | 493 Dr ML King Jr | Memphis | Tennessee | 38125 |
| SUDHA PRASAD | 1013083781 | 3836 Park Avenue | Memphis | Tennessee | 38111 |
| BHEERENDRA PRASAD | 1831318286 | 3836 Park Ave | Memphis | Tennessee | 38111 |
| PARK HIGHLAND MEDICAL CLINIC, PLLC | - | 3836 Park Acve | Memphis | Tennessee | 38111 |
| KIESHA HARRIS | 1780262014 | 493 ML King Jr | Memphis | Tennessee | 38126 |
| ASHLEY GROSS | 1154992048 | 493 ML King Jr | Memphis | Tennessee | 38126 |
| ALLYSON WILLIAMS | 1407115579 | 493 ML King Jr | Memphis | Tennessee | 38126 |
| KYRSTYN MCNEILL | 1629572268 | 493 ML King Jr | Memphis | Tennessee | 38126 |
| MICHELLE JONES | 1497388912 | 493 ML King Jr | Memphis | Tennessee | 38126 |
| ROBERT BALL | 1063530871 | 493 ML King Jr | Memphis | Tennessee | 38126 |
| MELISSA FONER | 1184091407 | 493 ML King Jr | Memphis | Tennessee | 38126 |
| FONER MED, PLLC | - | 493 ML King Jr | Memphis | Tennessee | 38126 |
| SUDHA PRASAD | 1013083781 | 3325 Kirby Parkway | Memphis | Tennessee | 38115 |
| BHEERENDRA PRASAD | 1831318286 | 3325 Kirby Parway | Memphis | Tennessee | 38115 |
| PARK HIGHLAND MEDICAL CLINIC, PLLC | - | PO BOx 17962 | Memphis | Tennessee | 38187 |
*Renovis does not have any joint ventures between or among the ACO REACH and any of its ACO REACH Participant Providers and Preferred providers.