Dr Erik James Van Houten, MD | |
101 Old Mccloud Rd, Mount Shasta, CA 96067-2796 | |
(530) 999-9040 | |
Not Available |
Full Name | Dr Erik James Van Houten |
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Gender | Male |
Speciality | Family Medicine |
Location | 101 Old Mccloud Rd, Mount Shasta, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1093251571 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 164733 (California) | Primary |
Entity Name | Pacific Central Coast Health Centers |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063496651 PECOS PAC ID: 9739091364 Enrollment ID: O20031103000443 |
Entity Name | Mountain Valleys Health Centers |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356438261 PECOS PAC ID: 4284685538 Enrollment ID: O20050429000424 |
Mailing Address | Practice Location Address |
---|---|
Dr Erik James Van Houten, MD 4460 Broad St Ste A, San Luis Obispo, CA 93401-8064 Ph: (805) 597-6715 | Dr Erik James Van Houten, MD 101 Old Mccloud Rd, Mount Shasta, CA 96067-2796 Ph: (530) 999-9040 |
David Glenn Holst, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 824 Pine St, Mount Shasta, CA 96067 Phone: 530-926-4528 Fax: 530-926-5070 | |
Dr. John Milo Katana, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 408 Pine St, Mount Shasta, CA 96067 Phone: 530-926-7196 Fax: 530-926-1026 | |
Dr. Phillip M Miller, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 408 Pine St, Mount Shasta, CA 96067 Phone: 530-926-7196 Fax: 530-926-1026 | |
Dr. John Karl Capos, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 620 S Mount Shasta Blvd, Mount Shasta, CA 96067 Phone: 530-918-6037 Fax: 530-918-6039 | |
Dr. Ashley Denise Delaney, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 101 Old Mccloud Rd, Mount Shasta, CA 96067 Phone: 530-999-9040 | |
Danny Elliott Drew, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 110 W Castle St, Ste 100, Mount Shasta, CA 96067 Phone: 530-926-9897 Fax: 530-926-2217 |