Coastal Health Alliance | |
65 Third Street, Suite 17 Point Reyes Station CA 94956-0910 | |
(415) 663-8781 | |
(415) 663-9630 |
Full Name | Coastal Health Alliance |
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Speciality | Family Medicine |
Location | 65 Third Street, Suite 17, Point Reyes Station, California |
Authorized Official Name and Position | Rafael Gomez (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 4156638781 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Coastal Health Alliance Po Box 910 65 Third Street, Suite 17 Point Reyes Station CA 94956-0910 Ph: (415) 663-8781 | Coastal Health Alliance 65 Third Street, Suite 17 Point Reyes Station CA 94956-0910 Ph: (415) 663-8781 |
NPI Number | 1699956839 |
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Provider Enumeration Date | 11/15/2007 |
Last Update Date | 02/22/2011 |
Medicare PECOS PAC ID | 7315919933 |
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Medicare Enrollment ID | O20040812000627 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699956839 | NPI | - | NPPES |
EAP70434F | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (California) | Secondary |
Provider Name | Eric Allan Holmberg |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1851408868 PECOS PAC ID: 0345234357 Enrollment ID: I20040413000536 |
Provider Name | Joseph Blumenthal |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1295774909 PECOS PAC ID: 4981647542 Enrollment ID: I20050603001013 |
Provider Name | Anna Kristina O'malley |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1447459185 PECOS PAC ID: 7113072224 Enrollment ID: I20090825000682 |
Provider Name | Meghan Sullivan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831160340 PECOS PAC ID: 6406800242 Enrollment ID: I20110428000200 |
Provider Name | Richard M Schiller |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1457459109 PECOS PAC ID: 8426217787 Enrollment ID: I20120307000064 |
Provider Name | Michael Jonathan Witte |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1790832269 PECOS PAC ID: 6305083734 Enrollment ID: I20130502000287 |
Provider Name | Barbara Joy Ritter |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356312763 PECOS PAC ID: 4789821703 Enrollment ID: I20130513000031 |
Provider Name | Nubia Catarina Daguia |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336459387 PECOS PAC ID: 6709006968 Enrollment ID: I20141010000483 |
Provider Name | Gabriel Klapman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1316280985 PECOS PAC ID: 4981918166 Enrollment ID: I20170206001368 |
Provider Name | Steven Aussenberg |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174902936 PECOS PAC ID: 8224343975 Enrollment ID: I20190424002450 |
Provider Name | Elizabeth Creighton O'brien |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1205145497 PECOS PAC ID: 6103159918 Enrollment ID: I20190611001221 |
Point Reyes Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3 Sixth Street, Point Reyes Station, CA 94956 Phone: 415-663-8666 Fax: 415-663-9532 | |
West Marin Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11150 Highway 1, Point Reyes Station, CA 94956 Phone: 415-663-1082 Fax: 415-663-9474 | |
Point Reyes Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 503 B Street, Point Reyes Station, CA 94956 Phone: 415-663-8666 Fax: 415-663-9532 | |
Colin Hamblin, A Professional Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11150 Highway 1, Point Reyes Station, CA 94956 Phone: 415-663-1082 Fax: 415-663-9474 |