| Angels Camp Family Medical Center | |
|
445 South Main St Angels Camp CA 95222 | |
| (209) 736-0249 | |
| (209) 533-7696 |
| Full Name | Angels Camp Family Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 445 South Main St, Angels Camp, California |
| Authorized Official Name and Position | Andrew D. Jahn (VICE PRESIDENT FOR FINANCE) |
| Authorized Official Contact | 2095365011 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Angels Camp Family Medical Center 14542 Lolly Ln Sonora CA 95370-9226 Ph: (209) 536-2760 | Angels Camp Family Medical Center 445 South Main St Angels Camp CA 95222 Ph: (209) 736-0249 |
| NPI Number | 1821089749 |
|---|---|
| Provider Enumeration Date | 10/31/2005 |
| Last Update Date | 03/29/2013 |
| Medicare PECOS PAC ID | 4284538505 |
|---|---|
| Medicare Enrollment ID | O20050411001282 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821089749 | NPI | - | NPPES |
| ZZZ52950Z | Other | CA | BLUE CROSS/BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Donald K Westbie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912984436 PECOS PAC ID: 7416940135 Enrollment ID: I20040407000516 |
| Provider Name | Dean M Kelaita |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750310496 PECOS PAC ID: 5092791541 Enrollment ID: I20040625000955 |
| Provider Name | Peter F Oliver |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609812965 PECOS PAC ID: 9032194915 Enrollment ID: I20040625001103 |
| Provider Name | Sandra J Shetzline |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033227715 PECOS PAC ID: 3971554270 Enrollment ID: I20050203000614 |
| Provider Name | Rajiv Maraj |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730193079 PECOS PAC ID: 9638175680 Enrollment ID: I20061013000373 |
| Provider Name | Eric Hemminger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104027085 PECOS PAC ID: 3678659992 Enrollment ID: I20080327000326 |
| Provider Name | Ayman A Hosny |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265414155 PECOS PAC ID: 3870675671 Enrollment ID: I20080521000408 |
| Provider Name | Brian J Carlson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740255462 PECOS PAC ID: 8729157169 Enrollment ID: I20080527000384 |
| Provider Name | Everardo Lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851379572 PECOS PAC ID: 2769544469 Enrollment ID: I20081215000050 |
| Provider Name | Renee H Kramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558584466 PECOS PAC ID: 9032393301 Enrollment ID: I20110411000675 |
| Provider Name | Rodney Eddi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598972838 PECOS PAC ID: 9638229347 Enrollment ID: I20140206000107 |
| Provider Name | Amy R Buckowski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114292976 PECOS PAC ID: 5092078634 Enrollment ID: I20181212000598 |
| Provider Name | Kelsey A Belcourt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467925594 PECOS PAC ID: 2163755943 Enrollment ID: I20190611000008 |
Yin Yang Medical Spa, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1270 Suzanne Dr Ste A, Angels Camp, CA 95222 Phone: 209-736-0100 Fax: 209-736-0128 | |
Family Medical Center - Angels Camp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 590 Stanislaus Avenue, Angels Camp, CA 95222 Phone: 209-736-0813 Fax: 209-736-9088 |