| Clarity-james Medical Services Corp | |
|
4040 Civic Center Dr Ste 200 San Rafael CA 94903-4187 | |
| (111) 111-1111 | |
| Not Available |
| Full Name | Clarity-james Medical Services Corp |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4040 Civic Center Dr Ste 200, San Rafael, California |
| Authorized Official Name and Position | Steven James (CEO) |
| Authorized Official Contact | 8882094955 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarity-james Medical Services Corp 4040 Civic Center Dr Ste 200 San Rafael CA 94903-4187 Ph: () - | Clarity-james Medical Services Corp 4040 Civic Center Dr Ste 200 San Rafael CA 94903-4187 Ph: (111) 111-1111 |
| NPI Number | 1972192953 |
|---|---|
| Provider Enumeration Date | 01/13/2021 |
| Last Update Date | 01/14/2021 |
| Certification Date | 01/14/2021 |
| Medicare PECOS PAC ID | 2668886813 |
|---|---|
| Medicare Enrollment ID | O20210128002631 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972192953 | NPI | - | NPPES |
| C4674875 | Other | CA | BUSINESS LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| Provider Name | Steven Parker James |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033306071 PECOS PAC ID: 7517126683 Enrollment ID: I20120308000505 |
| Provider Name | Pedro Morante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689038507 PECOS PAC ID: 4385937861 Enrollment ID: I20161205002451 |
| Provider Name | Shemiah M Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497274625 PECOS PAC ID: 7214297290 Enrollment ID: I20180213000564 |
| Provider Name | Grashika Sonal Devendra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407286743 PECOS PAC ID: 4789939810 Enrollment ID: I20180613003382 |
| Provider Name | Karun Gogna |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508131590 PECOS PAC ID: 9830513316 Enrollment ID: I20200716002033 |
| Provider Name | Emily Katherine Ackerman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861887945 PECOS PAC ID: 3274963046 Enrollment ID: I20210802002782 |
| Provider Name | Ivette Medrano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639678899 PECOS PAC ID: 6901230655 Enrollment ID: I20211014003008 |
| Provider Name | Praveen Pathak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386613867 PECOS PAC ID: 9638190986 Enrollment ID: I20211118002915 |
| Provider Name | Roderick Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861917882 PECOS PAC ID: 0941575484 Enrollment ID: I20211228002061 |
| Provider Name | Leana Dawn Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366844771 PECOS PAC ID: 1850447657 Enrollment ID: I20211230001852 |
| Provider Name | Colleen Sun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447925912 PECOS PAC ID: 7911393061 Enrollment ID: I20220330000354 |
| Provider Name | Ayoosh Kakkar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669992137 PECOS PAC ID: 9739453838 Enrollment ID: I20220621001647 |
| Provider Name | Morgan B Baldwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134893365 PECOS PAC ID: 5597145276 Enrollment ID: I20220712002470 |
| Provider Name | Avani Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962160572 PECOS PAC ID: 1254714421 Enrollment ID: I20221207002520 |
| Provider Name | Hayley Kincaid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730814484 PECOS PAC ID: 4183093388 Enrollment ID: I20221209002505 |
| Provider Name | Jaqueline Silva Muller Leite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205384765 PECOS PAC ID: 0143500991 Enrollment ID: I20231110002293 |
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