Central Valley Indian Health Clinic Prather | |
29323 Auberry Rd Prather CA 93651-9757 | |
(559) 855-5390 | |
(559) 299-0245 |
Full Name | Central Valley Indian Health Clinic Prather |
---|---|
Speciality | Clinic/Center |
Location | 29323 Auberry Rd, Prather, California |
Authorized Official Name and Position | Julie A Ramsey (COO) |
Authorized Official Contact | 5592992578 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Central Valley Indian Health Clinic Prather 2740 Herndon Ave Clovis CA 93611-6813 Ph: (559) 299-2578 | Central Valley Indian Health Clinic Prather 29323 Auberry Rd Prather CA 93651-9757 Ph: (559) 855-5390 |
NPI Number | 1902025059 |
---|---|
Provider Enumeration Date | 04/25/2007 |
Last Update Date | 08/12/2024 |
Medicare PECOS PAC ID | 9931092533 |
---|---|
Medicare Enrollment ID | O20040206000344 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902025059 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 040000392 (California) | Primary |
Provider Name | Matthew James Easton |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1841397718 PECOS PAC ID: 1557344132 Enrollment ID: I20040612000753 |
Provider Name | Winthrop B Hedrick |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437144367 PECOS PAC ID: 9638126147 Enrollment ID: I20050406001183 |
Provider Name | Hipolito G Mariano |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376685685 PECOS PAC ID: 2062503337 Enrollment ID: I20070801000612 |
Provider Name | Aaron C Kissel |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1477565356 PECOS PAC ID: 5597822007 Enrollment ID: I20090327000551 |
Provider Name | Christopher W Garcia |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386864072 PECOS PAC ID: 9830248178 Enrollment ID: I20090518000060 |
Provider Name | Meenakshi Dhingra |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1023231057 PECOS PAC ID: 0941344477 Enrollment ID: I20100222000098 |
Provider Name | Lynette E Bassman |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1649201500 PECOS PAC ID: 2365635448 Enrollment ID: I20101021000411 |
Provider Name | Gurmit S Deol |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376854943 PECOS PAC ID: 9436348414 Enrollment ID: I20110106000126 |
Provider Name | Shaikh Badarul Matin |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1962580852 PECOS PAC ID: 3779763099 Enrollment ID: I20110203000666 |
Provider Name | Ross Nishijima |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1255431896 PECOS PAC ID: 9739369091 Enrollment ID: I20120327000530 |
Provider Name | Willie E Thigpen |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093863052 PECOS PAC ID: 3173669157 Enrollment ID: I20120525000306 |
Provider Name | Nooshin M Moalemi |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1700181450 PECOS PAC ID: 4880847532 Enrollment ID: I20130109000379 |
Provider Name | Laju Alok Kumar |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124046172 PECOS PAC ID: 8628037744 Enrollment ID: I20150319001818 |
Provider Name | Sarah B Campbell |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1023137171 PECOS PAC ID: 5890013395 Enrollment ID: I20150414000202 |
Provider Name | Mary E Mclain |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1184916579 PECOS PAC ID: 9830405950 Enrollment ID: I20150903000566 |
Provider Name | Derik Keshishian |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699041426 PECOS PAC ID: 7315240280 Enrollment ID: I20160127000903 |
Provider Name | Esther O Mcconville |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1861851537 PECOS PAC ID: 9739488065 Enrollment ID: I20160509000365 |
Provider Name | David D Nege |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1750721262 PECOS PAC ID: 9335443910 Enrollment ID: I20160913001353 |
Provider Name | Gloria Sudeta |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083070064 PECOS PAC ID: 7810285210 Enrollment ID: I20161130001840 |
Provider Name | Ranjani Srinivasan |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1063953966 PECOS PAC ID: 8022385228 Enrollment ID: I20170518000826 |
Provider Name | James Del Rosario Tinio |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831365014 PECOS PAC ID: 2365512597 Enrollment ID: I20170807002673 |
Provider Name | Kok Cheung Ho |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235664517 PECOS PAC ID: 7618248774 Enrollment ID: I20170808001122 |
Provider Name | Brandon K Shumway |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1992230437 PECOS PAC ID: 7113323106 Enrollment ID: I20210830002857 |
Provider Name | Inderpreet G Feudale |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871937219 PECOS PAC ID: 7517255631 Enrollment ID: I20210922002095 |
Provider Name | Lenzy C Stephenson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1497134837 PECOS PAC ID: 2264735844 Enrollment ID: I20210927002652 |
Provider Name | David Malekooti |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003444324 PECOS PAC ID: 9032560222 Enrollment ID: I20240112000174 |
Aim Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 29369 Auberry Rd, Suite 101, Prather, CA 93651 Phone: 559-855-8445 Fax: 559-855-8440 |