| West County Adult Mental Health Services | |
|
13585 San Pablo Avenue 2nd Floor San Pablo CA 94806 | |
| (510) 942-4700 | |
| Not Available |
| Full Name | West County Adult Mental Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 13585 San Pablo Avenue, San Pablo, California |
| Authorized Official Name and Position | Patrick M. Godley (COO / CFO) |
| Authorized Official Contact | 9259575405 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West County Adult Mental Health Services 50 Douglas Dr Suite 391 Martinez CA 94553-4098 Ph: () - | West County Adult Mental Health Services 13585 San Pablo Avenue 2nd Floor San Pablo CA 94806 Ph: (510) 942-4700 |
| NPI Number | 1376620336 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 12/27/2021 |
| Certification Date | 12/22/2021 |
| Medicare PECOS PAC ID | 8628052974 |
|---|---|
| Medicare Enrollment ID | O20050707001058 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376620336 | NPI | - | NPPES |
| 07EA | Other | CA | MENTAL HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Albert A Fam |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891798195 PECOS PAC ID: 6204728108 Enrollment ID: I20040325001768 |
| Provider Name | Daniel C May |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205873809 PECOS PAC ID: 2769474154 Enrollment ID: I20040402001320 |
| Provider Name | Artoteles L Tandinco |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629147533 PECOS PAC ID: 6406838929 Enrollment ID: I20040607000942 |
| Provider Name | Lisa Wang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326113671 PECOS PAC ID: 0143209023 Enrollment ID: I20040714001618 |
| Provider Name | Michael H Levin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427139591 PECOS PAC ID: 8820077589 Enrollment ID: I20040715001373 |
| Provider Name | Brian Blaisch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184648909 PECOS PAC ID: 5799751442 Enrollment ID: I20040903000778 |
| Provider Name | Hala M Fattah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669510848 PECOS PAC ID: 0840266425 Enrollment ID: I20040903001173 |
| Provider Name | William James Peterson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841236072 PECOS PAC ID: 4486622206 Enrollment ID: I20040920001011 |
| Provider Name | Alina Y Faramazyan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093898744 PECOS PAC ID: 3173585536 Enrollment ID: I20041028000994 |
| Provider Name | Carlotta V Freeman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710107693 PECOS PAC ID: 5496718439 Enrollment ID: I20041110000451 |
| Provider Name | Mariposa I Mccall |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720164809 PECOS PAC ID: 1254372881 Enrollment ID: I20050513000415 |
| Provider Name | Anna M Wiltse |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790738896 PECOS PAC ID: 0648207662 Enrollment ID: I20050721000444 |
| Provider Name | Jimmy Jun |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306896188 PECOS PAC ID: 9931126042 Enrollment ID: I20051027001238 |
| Provider Name | Ronald L Leon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467418830 PECOS PAC ID: 5092737460 Enrollment ID: I20051228000752 |
| Provider Name | Aileen C Dwight |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205846581 PECOS PAC ID: 8527169622 Enrollment ID: I20070719000276 |
| Provider Name | Nathan Cohen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366526436 PECOS PAC ID: 4981774155 Enrollment ID: I20080529000900 |
| Provider Name | Shahbaz Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619048295 PECOS PAC ID: 7416025002 Enrollment ID: I20081009000399 |
| Provider Name | Deborah J Silver |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902826969 PECOS PAC ID: 4183783897 Enrollment ID: I20081111000198 |
| Provider Name | Simret Nanda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457518425 PECOS PAC ID: 2365517554 Enrollment ID: I20091116000260 |
| Provider Name | Margaret L Miller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093768160 PECOS PAC ID: 9032258371 Enrollment ID: I20091130000460 |
| Provider Name | Neil S Sachs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407086218 PECOS PAC ID: 0244375327 Enrollment ID: I20100301000143 |
| Provider Name | Donna L Ehlers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174671069 PECOS PAC ID: 2365634706 Enrollment ID: I20101004001430 |
| Provider Name | Emily R Watters |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336309897 PECOS PAC ID: 6901090505 Enrollment ID: I20101027001208 |
| Provider Name | Arianne M. Ferguson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255528436 PECOS PAC ID: 5193904407 Enrollment ID: I20110119000328 |
| Provider Name | Alexander Gorodetsky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912084666 PECOS PAC ID: 2264611615 Enrollment ID: I20110201000230 |
| Provider Name | Judith M Quittman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386771533 PECOS PAC ID: 5698956753 Enrollment ID: I20110222000931 |
| Provider Name | Richard D Baldwin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851486104 PECOS PAC ID: 3476691908 Enrollment ID: I20110222000997 |
| Provider Name | Daniel Forkin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639320674 PECOS PAC ID: 6406030741 Enrollment ID: I20110411000333 |
| Provider Name | Sandhya G Nair |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609065432 PECOS PAC ID: 8426232653 Enrollment ID: I20110412000554 |
| Provider Name | Macey H Rosenthal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851457055 PECOS PAC ID: 8123202355 Enrollment ID: I20110412000591 |
| Provider Name | Robert Streett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790863892 PECOS PAC ID: 6800070889 Enrollment ID: I20110415000638 |
| Provider Name | William Berlingieri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285796847 PECOS PAC ID: 1456392331 Enrollment ID: I20110511000254 |
| Provider Name | Jee Guss |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932265600 PECOS PAC ID: 0143406504 Enrollment ID: I20110519000218 |
| Provider Name | Victoria Snyder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629127899 PECOS PAC ID: 2062698442 Enrollment ID: I20110519000436 |
| Provider Name | Uzma Anwer Rehman Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053517490 PECOS PAC ID: 7113103482 Enrollment ID: I20110520000640 |
| Provider Name | Douglas Hanlin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447342902 PECOS PAC ID: 0941478044 Enrollment ID: I20110715000240 |
| Provider Name | Vinod Sharma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629264049 PECOS PAC ID: 6204004096 Enrollment ID: I20110721000654 |
| Provider Name | Soo Yeon Kelly Kang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508038415 PECOS PAC ID: 4587832019 Enrollment ID: I20110727000429 |
| Provider Name | Ji-sook Oh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659425106 PECOS PAC ID: 0840460598 Enrollment ID: I20110907001015 |
| Provider Name | David A Schwartz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730267329 PECOS PAC ID: 0244404887 Enrollment ID: I20111117000277 |
| Provider Name | Alfeo V Reminajes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184848087 PECOS PAC ID: 7416121793 Enrollment ID: I20111123000126 |
| Provider Name | John Robert Rostkowski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861424665 PECOS PAC ID: 1557536919 Enrollment ID: I20111213000647 |
| Provider Name | Rahat Aulakh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831200153 PECOS PAC ID: 6709053697 Enrollment ID: I20120117000720 |
| Provider Name | Stephen D Field |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134391287 PECOS PAC ID: 6608039979 Enrollment ID: I20120524000058 |
| Provider Name | Silvia Colmenares |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932134061 PECOS PAC ID: 6002869880 Enrollment ID: I20121115000098 |
| Provider Name | Matthew Thomas Littlefield |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861640146 PECOS PAC ID: 8224289558 Enrollment ID: I20121115000116 |
| Provider Name | Arun Haridas |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1578881330 PECOS PAC ID: 6204087430 Enrollment ID: I20121115000251 |
| Provider Name | Liza J Dalmacio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982982674 PECOS PAC ID: 2062667280 Enrollment ID: I20130219000277 |
| Provider Name | Daniel Moring-parris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891067609 PECOS PAC ID: 6901031996 Enrollment ID: I20131029000749 |
| Provider Name | Jessica J Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265693485 PECOS PAC ID: 1355571035 Enrollment ID: I20140225000127 |
| Provider Name | Indra P Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629173620 PECOS PAC ID: 8729047287 Enrollment ID: I20140501000384 |
| Provider Name | Minh C Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851731889 PECOS PAC ID: 2163648239 Enrollment ID: I20140725000702 |
| Provider Name | Jonathan B Terry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841424728 PECOS PAC ID: 7416189071 Enrollment ID: I20151117000327 |
| Provider Name | Indu Talwar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386751188 PECOS PAC ID: 3971607854 Enrollment ID: I20151230002528 |
| Provider Name | Catherine J Frances |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437318003 PECOS PAC ID: 6204071368 Enrollment ID: I20160607001285 |
| Provider Name | Lina Irena Augius |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205026705 PECOS PAC ID: 9133413784 Enrollment ID: I20160804002356 |
| Provider Name | Adam J Danko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821392846 PECOS PAC ID: 1759661291 Enrollment ID: I20161129001998 |
| Provider Name | Andrew M Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720369598 PECOS PAC ID: 4284917238 Enrollment ID: I20170216002536 |
| Provider Name | Shawn Md Barnes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932458825 PECOS PAC ID: 1951671031 Enrollment ID: I20170721002974 |
| Provider Name | Jonathan C Strohl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043574080 PECOS PAC ID: 0446487698 Enrollment ID: I20170901002124 |
| Provider Name | Kimberly A Loda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346381423 PECOS PAC ID: 0749536068 Enrollment ID: I20180912002675 |
| Provider Name | Daisy K Lam |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235481565 PECOS PAC ID: 6709137425 Enrollment ID: I20180919002747 |
| Provider Name | Patricia M Dillard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205252293 PECOS PAC ID: 0547511123 Enrollment ID: I20180920001044 |
| Provider Name | Machtel M Pengel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821301425 PECOS PAC ID: 7113278797 Enrollment ID: I20180920001307 |
| Provider Name | Candelario J Castillo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730540782 PECOS PAC ID: 2769733013 Enrollment ID: I20180925003500 |
| Provider Name | Jena F Nawy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083041818 PECOS PAC ID: 3678824950 Enrollment ID: I20180926000138 |
| Provider Name | Dickyi D Charwathakyi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437466695 PECOS PAC ID: 7517210016 Enrollment ID: I20181031001005 |
| Provider Name | Somchith Phongboupha |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144366113 PECOS PAC ID: 4789928334 Enrollment ID: I20181207001926 |
| Provider Name | Marie R Champlin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164718276 PECOS PAC ID: 5597005850 Enrollment ID: I20190322001809 |
| Provider Name | Lara Marie Zanzucchi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588973804 PECOS PAC ID: 6709129398 Enrollment ID: I20190522003263 |
| Provider Name | Erma J Wardley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639572969 PECOS PAC ID: 7719212497 Enrollment ID: I20190717003171 |
| Provider Name | Anna K O'connor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932306248 PECOS PAC ID: 3779812243 Enrollment ID: I20190909001860 |
| Provider Name | David R Norton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164816088 PECOS PAC ID: 1355650136 Enrollment ID: I20191021002858 |
| Provider Name | Victoria I Ojiako |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508403551 PECOS PAC ID: 3971934910 Enrollment ID: I20200507002148 |
| Provider Name | Anita I Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366637993 PECOS PAC ID: 4082033535 Enrollment ID: I20201001002336 |
| Provider Name | Cheyenne N Carson-craft |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700319225 PECOS PAC ID: 3577991439 Enrollment ID: I20201023002935 |
| Provider Name | Scott Breaud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174159024 PECOS PAC ID: 2860802931 Enrollment ID: I20201030000191 |
| Provider Name | Latika K Phillips |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508251075 PECOS PAC ID: 2264765700 Enrollment ID: I20201104003099 |
| Provider Name | William T Portman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639551294 PECOS PAC ID: 6406266246 Enrollment ID: I20201105000768 |
| Provider Name | Shirley J Cheney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326247032 PECOS PAC ID: 4587074240 Enrollment ID: I20201109000865 |
| Provider Name | Amarpreet K Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942777677 PECOS PAC ID: 8123363256 Enrollment ID: I20210701003698 |
| Provider Name | Tracy L Chu-harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922521848 PECOS PAC ID: 8527462472 Enrollment ID: I20210813002680 |
| Provider Name | Michelle P Coy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114323441 PECOS PAC ID: 0547658957 Enrollment ID: I20211103001817 |
| Provider Name | Angela R Rodgers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851725253 PECOS PAC ID: 3779840178 Enrollment ID: I20220201001463 |
| Provider Name | Kimberly A Coady Heikkila |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295939569 PECOS PAC ID: 9335532472 Enrollment ID: I20220211002153 |
| Provider Name | Katherine Thanh-tam Huynh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568008225 PECOS PAC ID: 6800280926 Enrollment ID: I20220304001977 |
| Provider Name | Heather N Peebles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154960045 PECOS PAC ID: 5294191599 Enrollment ID: I20230511001014 |
| Provider Name | Bernd P Hansen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609384239 PECOS PAC ID: 0042677098 Enrollment ID: I20230606002478 |
| Provider Name | Justina T Awazi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649922758 PECOS PAC ID: 5597127597 Enrollment ID: I20230808001503 |
| Provider Name | Damaris M Kitheka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144996240 PECOS PAC ID: 3577910355 Enrollment ID: I20231116000475 |
| Provider Name | Heather L Hansen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215501861 PECOS PAC ID: 9133576838 Enrollment ID: I20231116001853 |
| Provider Name | Benjamin Cole Huffman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1891024519 PECOS PAC ID: 3870946270 Enrollment ID: I20240201003030 |
| Provider Name | Terry I Ahad |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1801095351 PECOS PAC ID: 5294178364 Enrollment ID: I20240206000411 |
| Provider Name | Sherry I Alcazar |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1457882169 PECOS PAC ID: 8123461258 Enrollment ID: I20240206002281 |
| Provider Name | Steven C Polivka |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1720490253 PECOS PAC ID: 6901249036 Enrollment ID: I20240206002417 |
| Provider Name | Sara C Ralls |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1427546969 PECOS PAC ID: 5698118735 Enrollment ID: I20240206002605 |
| Provider Name | Shennen N Pugh |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1902267859 PECOS PAC ID: 4284077322 Enrollment ID: I20240206002818 |
| Provider Name | Lia A Taddei |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1740522119 PECOS PAC ID: 4880037936 Enrollment ID: I20240206002978 |
| Provider Name | Bernardita P Sanabria |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1093883514 PECOS PAC ID: 5294178349 Enrollment ID: I20240206003198 |
| Provider Name | Denise L Tarvins |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1225220007 PECOS PAC ID: 1254774300 Enrollment ID: I20240206003338 |
| Provider Name | Paul G Juranovich |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1467788737 PECOS PAC ID: 5597108654 Enrollment ID: I20240206003486 |
| Provider Name | Saraphi Chawengchot |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1497815393 PECOS PAC ID: 1951744911 Enrollment ID: I20240206003826 |
| Provider Name | Abran A Aviles-scott |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1245615509 PECOS PAC ID: 8820431885 Enrollment ID: I20240206004007 |
| Provider Name | Brigette M Girardey |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1013221233 PECOS PAC ID: 5698118677 Enrollment ID: I20240206004652 |
| Provider Name | Rachelle M Cohen |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1275710287 PECOS PAC ID: 5395188304 Enrollment ID: I20240207000383 |
| Provider Name | Keshia R Ingram |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1134633068 PECOS PAC ID: 2264875202 Enrollment ID: I20240207001574 |
| Provider Name | Amber L Giles |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1801178363 PECOS PAC ID: 6507209558 Enrollment ID: I20240207001687 |
| Provider Name | Beverly A Fuhrman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1285787382 PECOS PAC ID: 5597108548 Enrollment ID: I20240207001711 |
| Provider Name | Poneva V Hamlin |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1336606250 PECOS PAC ID: 5991148843 Enrollment ID: I20240207001939 |
| Provider Name | Jamie N Domingos |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1043553118 PECOS PAC ID: 6507209459 Enrollment ID: I20240207002029 |
| Provider Name | Michele T Williams |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1215309711 PECOS PAC ID: 4385087238 Enrollment ID: I20240207002128 |
| Provider Name | Philip M Thomas |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1023544566 PECOS PAC ID: 2264875129 Enrollment ID: I20240207002254 |
| Provider Name | Adam Hernandez Rodriguez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1750736807 PECOS PAC ID: 8325481294 Enrollment ID: I20240207002743 |
| Provider Name | Yoshiko Murai |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1225101249 PECOS PAC ID: 7618311838 Enrollment ID: I20240215002966 |
| Provider Name | John K Ojewole |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1073064358 PECOS PAC ID: 8224472477 Enrollment ID: I20240215003868 |
| Provider Name | Cheryl L Kehner |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1326306622 PECOS PAC ID: 3971947789 Enrollment ID: I20240220004342 |
| Provider Name | Alexis V Chaet-lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457928012 PECOS PAC ID: 7113382508 Enrollment ID: I20240220004452 |
| Provider Name | Hillary Carneal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619538519 PECOS PAC ID: 7911352703 Enrollment ID: I20240221001587 |
| Provider Name | Maya Degroote |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538736194 PECOS PAC ID: 5092160028 Enrollment ID: I20240221004035 |
| Provider Name | Lamson Bui |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205236106 PECOS PAC ID: 5193179802 Enrollment ID: I20240222000398 |
| Provider Name | Lakhta Najibi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205567351 PECOS PAC ID: 8820443658 Enrollment ID: I20240222001684 |
| Provider Name | Megan Q Carr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992201818 PECOS PAC ID: 1052662830 Enrollment ID: I20240223001752 |
| Provider Name | Erica Mitchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285047084 PECOS PAC ID: 6608233952 Enrollment ID: I20240223004032 |
| Provider Name | Mallory Cless |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649847203 PECOS PAC ID: 7012362718 Enrollment ID: I20240226000851 |
| Provider Name | Bianka J Aguilar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033786694 PECOS PAC ID: 5597110411 Enrollment ID: I20240227003688 |
| Provider Name | Amennah S. Moghaddam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285046557 PECOS PAC ID: 6103261987 Enrollment ID: I20240303000039 |
| Provider Name | Brandy Nicole Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871934109 PECOS PAC ID: 5294170924 Enrollment ID: I20240304002071 |
| Provider Name | Eleanor Deaton Sullivan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710503925 PECOS PAC ID: 7416311469 Enrollment ID: I20240308001527 |
| Provider Name | Inanna Leilani Carter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245962018 PECOS PAC ID: 0840645586 Enrollment ID: I20240313003791 |
| Provider Name | Stephannie Leong Ratcliff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942877501 PECOS PAC ID: 0941655849 Enrollment ID: I20240319002179 |
| Provider Name | Abigail Burns |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053708602 PECOS PAC ID: 1759696479 Enrollment ID: I20240319002194 |
| Provider Name | Aqeel A Muhammad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487966909 PECOS PAC ID: 8426368424 Enrollment ID: I20240320002651 |
| Provider Name | Bertha A Diaz |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1003023698 PECOS PAC ID: 0446697726 Enrollment ID: I20240321003592 |
| Provider Name | Stephanie Glick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841867405 PECOS PAC ID: 7315392107 Enrollment ID: I20240322001184 |
| Provider Name | Karlee Nicole Kirkpatrick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215060439 PECOS PAC ID: 3678730165 Enrollment ID: I20240322003643 |
| Provider Name | Arianna Robin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659948214 PECOS PAC ID: 1052766706 Enrollment ID: I20240322003724 |
| Provider Name | John S Hawkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003483660 PECOS PAC ID: 9234584889 Enrollment ID: I20240325000844 |
| Provider Name | Franca Voke Niameh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639620974 PECOS PAC ID: 9234576372 Enrollment ID: I20240325001685 |
| Provider Name | Tiffany Ku |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205403862 PECOS PAC ID: 3375909914 Enrollment ID: I20240327004032 |
| Provider Name | Tristen Ashly Adams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366019929 PECOS PAC ID: 6901169820 Enrollment ID: I20240410003326 |
| Provider Name | Amanda B Elder |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114174877 PECOS PAC ID: 1557703576 Enrollment ID: I20240522002585 |
Downer Elementary School-mh Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1231 18th St, San Pablo, CA 94806 Phone: 510-231-1435 Fax: 510-233-8961 | |
Gateway Alcohol And Drug Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13201 San Pablo Ave, Suite 205, San Pablo, CA 94806 Phone: 510-235-2887 Fax: 510-235-2563 | |
Tri-cities Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2523 El Portal Dr Ste 206, San Pablo, CA 94806 Phone: 510-374-7017 | |
Montalvin Manor Elementary School Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Christine Dr, San Pablo, CA 94806 Phone: 510-231-1405 | |
Mental Health- Riverside Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 Amador St, San Pablo, CA 94806 Phone: 510-231-1409 Fax: 510-237-6991 | |
Rectory Womens Recovery Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1901 Church Ln, San Pablo, CA 94806 Phone: 510-236-3139 Fax: 510-236-3200 | |
Mental Health - Dover Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1870 19th St, San Pablo, CA 94806 Phone: 510-231-1420 Fax: 510-236-5483 |