| Claydon Medical Group Inc | |
|
150 Catherine Ln Ste B Grass Valley CA 95945-5719 | |
| (530) 271-2100 | |
| (530) 271-2200 |
| Full Name | Claydon Medical Group Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 150 Catherine Ln Ste B, Grass Valley, California |
| Authorized Official Name and Position | Elizabeth M Claydon (OWNER) |
| Authorized Official Contact | 5302712100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Claydon Medical Group Inc 150 Catherine Ln Ste B Grass Valley CA 95945-5719 Ph: (530) 271-2100 | Claydon Medical Group Inc 150 Catherine Ln Ste B Grass Valley CA 95945-5719 Ph: (530) 271-2100 |
| NPI Number | 1922529031 |
|---|---|
| Provider Enumeration Date | 06/28/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 0345513255 |
|---|---|
| Medicare Enrollment ID | O20170828004722 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922529031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A143525 (California) | Primary |
| Provider Name | Jodi D Snyder |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427013259 PECOS PAC ID: 1557340635 Enrollment ID: I20040714000764 |
| Provider Name | Elizabeth M Claydon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992140131 PECOS PAC ID: 7719120104 Enrollment ID: I20170120002199 |
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