| Well Coast Medical Corporation | |
|
582 Market St Ste 1608 San Francisco CA 94104-5317 | |
| (833) 931-1716 | |
| (866) 519-5427 |
| Full Name | Well Coast Medical Corporation |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 582 Market St Ste 1608, San Francisco, California |
| Authorized Official Name and Position | Michelle Guchereau (CEO) |
| Authorized Official Contact | 8339311716 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Well Coast Medical Corporation 582 Market St Ste 1608 San Francisco CA 94104-5317 Ph: (833) 931-1716 | Well Coast Medical Corporation 582 Market St Ste 1608 San Francisco CA 94104-5317 Ph: (833) 931-1716 |
| NPI Number | 1881245231 |
|---|---|
| Provider Enumeration Date | 09/26/2019 |
| Last Update Date | 08/09/2023 |
| Certification Date | 08/09/2023 |
| Medicare PECOS PAC ID | 4587094826 |
|---|---|
| Medicare Enrollment ID | O20200428002062 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881245231 | NPI | - | NPPES |
| Provider Name | Stephen B Seager |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932139573 PECOS PAC ID: 0941263941 Enrollment ID: I20041110000890 |
| Provider Name | Victor A Torres-collazo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720242712 PECOS PAC ID: 0749341972 Enrollment ID: I20150706000966 |
| Provider Name | Ellen Y Suski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356888127 PECOS PAC ID: 7012278971 Enrollment ID: I20180309002271 |
| Provider Name | Michelle Suzanne Guchereau |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750508198 PECOS PAC ID: 2163728262 Enrollment ID: I20200617003050 |
| Provider Name | Gloria Sim Le |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316488620 PECOS PAC ID: 7416363205 Enrollment ID: I20210302001843 |
| Provider Name | Daniell Lavinah Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790384279 PECOS PAC ID: 2961818554 Enrollment ID: I20210305000753 |
| Provider Name | Lindsey Christine Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730702671 PECOS PAC ID: 4385051820 Enrollment ID: I20210329001350 |
| Provider Name | Madison Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336893254 PECOS PAC ID: 1658766050 Enrollment ID: I20220322001885 |
| Provider Name | Emily Suzanne Econie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295327112 PECOS PAC ID: 5294122743 Enrollment ID: I20220502000310 |
| Provider Name | Hendrick Eugene Soh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720442361 PECOS PAC ID: 7911239538 Enrollment ID: I20240117004904 |
| Provider Name | Shawanda Mcgee Powell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902420557 PECOS PAC ID: 9436502838 Enrollment ID: I20240201002961 |
| Provider Name | Hector Alan Saavedra |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1366935264 PECOS PAC ID: 1658724927 Enrollment ID: I20240202001252 |
| Provider Name | Heather Murray |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740041458 PECOS PAC ID: 5698118933 Enrollment ID: I20240203000479 |
| Provider Name | Joshua Johnson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1912660184 PECOS PAC ID: 0244673325 Enrollment ID: I20240206000639 |
| Provider Name | Dynasty Huckleby |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1225649437 PECOS PAC ID: 5294179214 Enrollment ID: I20240219000749 |
| Provider Name | Angela Lim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104306968 PECOS PAC ID: 0345685418 Enrollment ID: I20240228002307 |
| Provider Name | Amber C Garman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1609518067 PECOS PAC ID: 1759727639 Enrollment ID: I20240313004459 |
| Provider Name | Zena J Vevaina |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1700069598 PECOS PAC ID: 8729429287 Enrollment ID: I20240515000609 |
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