Ca Post Acute Specialists Pc | |
201 Hartnell Ave Redding CA 96002-1843 | |
(800) 411-6768 | |
Not Available |
Full Name | Ca Post Acute Specialists Pc |
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Speciality | Family Medicine |
Location | 201 Hartnell Ave, Redding, California |
Authorized Official Name and Position | Laurel Dotas (CHIEF OPERATING OFFICE) |
Authorized Official Contact | 3522151603 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ca Post Acute Specialists Pc 119 S Western Ave Unit 1 Chicago IL 60612-4644 Ph: (800) 411-6768 | Ca Post Acute Specialists Pc 201 Hartnell Ave Redding CA 96002-1843 Ph: (800) 411-6768 |
NPI Number | 1710401302 |
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Provider Enumeration Date | 07/26/2017 |
Last Update Date | 12/16/2024 |
Medicare PECOS PAC ID | 7911273248 |
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Medicare Enrollment ID | O20171031003052 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710401302 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
Provider Name | Jillian Payne |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447431515 PECOS PAC ID: 3870632706 Enrollment ID: I20091204000620 |
Provider Name | Sultan S Niazi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1396048666 PECOS PAC ID: 0749458693 Enrollment ID: I20120920000775 |
Provider Name | Jennifer Mcdonald |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669858361 PECOS PAC ID: 6002194925 Enrollment ID: I20161027002502 |
Provider Name | Teresa Kuo |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1194119545 PECOS PAC ID: 0244519726 Enrollment ID: I20171114003269 |
Provider Name | Dorinda Vernita Ezell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093282766 PECOS PAC ID: 1355670498 Enrollment ID: I20190915000007 |
Provider Name | Jason Woo |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1962744573 PECOS PAC ID: 4082855440 Enrollment ID: I20200224001346 |
Provider Name | Zahra Shariff |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1538260492 PECOS PAC ID: 8527084128 Enrollment ID: I20200826003426 |
Provider Name | George M Kokolski |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1275590879 PECOS PAC ID: 8820178064 Enrollment ID: I20200922002950 |
Provider Name | Mary Theresa Hoang |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1306015227 PECOS PAC ID: 5698848174 Enrollment ID: I20201001001632 |
Provider Name | Dennie Bryant |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1700174166 PECOS PAC ID: 2062631450 Enrollment ID: I20210519000587 |
Provider Name | Susan Meller |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1538177316 PECOS PAC ID: 1052463569 Enrollment ID: I20210525002511 |
Provider Name | Zakari Kwota |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1467806810 PECOS PAC ID: 8022359603 Enrollment ID: I20230505000693 |
Provider Name | Lillian Nagi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063851442 PECOS PAC ID: 0648594929 Enrollment ID: I20230621000899 |
Provider Name | Jarrod Murphy Nero |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881086296 PECOS PAC ID: 9032439187 Enrollment ID: I20230720003906 |
Provider Name | Akosua Neferteti Obeng-aduasare |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598311896 PECOS PAC ID: 7911238571 Enrollment ID: I20230721001409 |
Provider Name | Jessica K Fichter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447643986 PECOS PAC ID: 5698087732 Enrollment ID: I20230907004470 |
Provider Name | Alexa Chapman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629472840 PECOS PAC ID: 9931426186 Enrollment ID: I20231004001665 |
Provider Name | Sulakshna Dhamija |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1629383153 PECOS PAC ID: 0244474112 Enrollment ID: I20231009001507 |
Provider Name | Tawna Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831639020 PECOS PAC ID: 9537418611 Enrollment ID: I20231012000239 |
Provider Name | Jessica Thorman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508429630 PECOS PAC ID: 0042553455 Enrollment ID: I20231129002883 |
Provider Name | Phillip Newman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427579895 PECOS PAC ID: 0244503001 Enrollment ID: I20231213003263 |
Provider Name | Kristen Ray |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467857672 PECOS PAC ID: 2961704929 Enrollment ID: I20231215001128 |
Provider Name | Hollie Kimble |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578962106 PECOS PAC ID: 5799905584 Enrollment ID: I20231226001087 |
Provider Name | Bridgett Michelle Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629580519 PECOS PAC ID: 3375931702 Enrollment ID: I20240301001598 |
Provider Name | Anthony Ronny Martin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518588367 PECOS PAC ID: 2264844604 Enrollment ID: I20240307003713 |
Provider Name | Shana Roushia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699313825 PECOS PAC ID: 9830526466 Enrollment ID: I20240321001755 |
Provider Name | Jennifer Enderline |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356813653 PECOS PAC ID: 5698009660 Enrollment ID: I20240503002288 |
Provider Name | Amanda Marie Majoros |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699140020 PECOS PAC ID: 5395048235 Enrollment ID: I20240508002202 |
Provider Name | Jill Butler |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1295706158 PECOS PAC ID: 3274500491 Enrollment ID: I20240606001131 |
Provider Name | Laura L Warren |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215970645 PECOS PAC ID: 3476581943 Enrollment ID: I20240812003552 |
Provider Name | Kenderlate Arthus |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043980550 PECOS PAC ID: 8527423326 Enrollment ID: I20240826002480 |
Provider Name | Jessica Suzanne Hicks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821675158 PECOS PAC ID: 5395145593 Enrollment ID: I20241118003659 |
Provider Name | Guiselly Erazo-romero |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528551223 PECOS PAC ID: 2365794088 Enrollment ID: I20241120001698 |
Provider Name | Jeffrey L Bevan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700992898 PECOS PAC ID: 1951300136 Enrollment ID: I20241127002027 |
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