Masonic Homes Of California | |
34400 Mission Blvd Union City CA 94587-3604 | |
(510) 471-3434 | |
(510) 476-6329 |
Full Name | Masonic Homes Of California |
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Speciality | Community/Behavioral Health |
Location | 34400 Mission Blvd, Union City, California |
Authorized Official Name and Position | Kimberly Rich (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 8774886293 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Masonic Homes Of California 34400 Mission Blvd Union City CA 94587-3604 Ph: (510) 471-3434 | Masonic Homes Of California 34400 Mission Blvd Union City CA 94587-3604 Ph: (510) 471-3434 |
NPI Number | 1114111317 |
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Provider Enumeration Date | 08/30/2007 |
Last Update Date | 11/22/2019 |
Medicare PECOS PAC ID | 4183625361 |
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Medicare Enrollment ID | O20200709000957 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114111317 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Craig F Conner |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1831234640 PECOS PAC ID: 5395970891 Enrollment ID: I20131107001641 |
Provider Name | Sheening Lin |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1174602726 PECOS PAC ID: 1557678364 Enrollment ID: I20150910002483 |
Provider Name | David J Quinteros |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1457669384 PECOS PAC ID: 9032499785 Enrollment ID: I20161215000400 |
Provider Name | Lisa M. Goodwin |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1457490617 PECOS PAC ID: 6608289483 Enrollment ID: I20210115002399 |
Provider Name | Ethan Ornstein |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1316354434 PECOS PAC ID: 6608284716 Enrollment ID: I20210408002579 |
Provider Name | Elba Flores |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1801102942 PECOS PAC ID: 2860843661 Enrollment ID: I20240105001801 |
Provider Name | America Marlene Islas |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1346536919 PECOS PAC ID: 4385187426 Enrollment ID: I20240618001971 |
Provider Name | Kailie Christine Barnes |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1093362584 PECOS PAC ID: 2163968363 Enrollment ID: I20240724002027 |
Provider Name | Emanuel Lewis Esquivel |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1124363726 PECOS PAC ID: 7719410919 Enrollment ID: I20241025003783 |
Calli Therapies, Licensed Clinical Social Worker, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 33522 8th St, Union City, CA 94587 Phone: 510-210-0394 | |