| Davis Community Clinic | |
|
2051 John Jones Rd Davis CA 95616-9701 | |
| (530) 758-2060 | |
| (530) 758-8490 |
| Full Name | Davis Community Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 2051 John Jones Rd, Davis, California |
| Authorized Official Name and Position | Rose Macisaac (CFO) |
| Authorized Official Contact | 7607676435 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Davis Community Clinic Po Box 1260 Davis CA 95617 Ph: (530) 753-3498 | Davis Community Clinic 2051 John Jones Rd Davis CA 95616-9701 Ph: (530) 758-2060 |
| NPI Number | 1558366823 |
|---|---|
| Provider Enumeration Date | 06/14/2005 |
| Last Update Date | 10/17/2023 |
| Medicare PECOS PAC ID | 0345299186 |
|---|---|
| Medicare Enrollment ID | O20161129002365 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558366823 | NPI | - | NPPES |
| FHC11771F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 03000146 (California) | Primary |
| Provider Name | Jason Auriemma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922187574 PECOS PAC ID: 4981657947 Enrollment ID: I20050302000250 |
| Provider Name | David Katz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871672352 PECOS PAC ID: 6305804402 Enrollment ID: I20050302000289 |
| Provider Name | Mary Meux |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235208299 PECOS PAC ID: 9335180348 Enrollment ID: I20050519001029 |
| Provider Name | Brooke Sea Chang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821073461 PECOS PAC ID: 4486671815 Enrollment ID: I20051025000993 |
| Provider Name | Katherine J Mcfadden |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1619017241 PECOS PAC ID: 4981704954 Enrollment ID: I20070705000577 |
| Provider Name | Stanley R Gambrill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659482958 PECOS PAC ID: 5395804876 Enrollment ID: I20081113000069 |
| Provider Name | Christina Stone |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1649348376 PECOS PAC ID: 4789745654 Enrollment ID: I20081210000621 |
| Provider Name | Marci I Snodgrass |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164407839 PECOS PAC ID: 3274695275 Enrollment ID: I20081230000235 |
| Provider Name | Catherine Mcgovern |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1750532305 PECOS PAC ID: 0749342681 Enrollment ID: I20081230000627 |
| Provider Name | Lucretia S Maas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891943502 PECOS PAC ID: 1153460282 Enrollment ID: I20091203000344 |
| Provider Name | Rubina Saini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720138340 PECOS PAC ID: 1355486655 Enrollment ID: I20100310000611 |
| Provider Name | Annamaria Mccoy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184886871 PECOS PAC ID: 0446412258 Enrollment ID: I20120424000138 |
| Provider Name | Muthumanimoli Sivakumaran |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285713867 PECOS PAC ID: 4587820394 Enrollment ID: I20120724000128 |
| Provider Name | Kris Srinivasan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558560284 PECOS PAC ID: 0547419368 Enrollment ID: I20121010000414 |
| Provider Name | Pamela S Portnoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841562733 PECOS PAC ID: 2466690078 Enrollment ID: I20130521000114 |
| Provider Name | Marcia Y Nearing |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063496024 PECOS PAC ID: 4880745520 Enrollment ID: I20131219001723 |
| Provider Name | Colleen Reeves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902060908 PECOS PAC ID: 4587884838 Enrollment ID: I20141008001683 |
| Provider Name | Stephen S Sosnicki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578884060 PECOS PAC ID: 0749420651 Enrollment ID: I20150423000016 |
| Provider Name | Jennifer Ellen Scafidi |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1215333018 PECOS PAC ID: 9032415757 Enrollment ID: I20160307001469 |
| Provider Name | Salma Shabaik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861719171 PECOS PAC ID: 4880831536 Enrollment ID: I20160315003103 |
| Provider Name | Alanna D Bares |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588924641 PECOS PAC ID: 1951698034 Enrollment ID: I20160919001061 |
| Provider Name | John Scott Stockburger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295776029 PECOS PAC ID: 5698725414 Enrollment ID: I20170119000848 |
| Provider Name | Anmol Chohan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386917177 PECOS PAC ID: 6608094891 Enrollment ID: I20170213001443 |
| Provider Name | Isabel Edge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417396326 PECOS PAC ID: 9335426527 Enrollment ID: I20170425001572 |
| Provider Name | Brent W Hanson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437560703 PECOS PAC ID: 3375841273 Enrollment ID: I20170606001298 |
| Provider Name | Upal Sarker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083025365 PECOS PAC ID: 9638478548 Enrollment ID: I20170801001657 |
| Provider Name | Kerri Fjeld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396141743 PECOS PAC ID: 6204151079 Enrollment ID: I20171017002492 |
| Provider Name | Betzabel Kunkel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720245095 PECOS PAC ID: 1153572730 Enrollment ID: I20171017003251 |
| Provider Name | Sandy Lieu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952716573 PECOS PAC ID: 8325346653 Enrollment ID: I20171018002412 |
| Provider Name | Melissa Ann Marshall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477526291 PECOS PAC ID: 3779571120 Enrollment ID: I20171026001787 |
| Provider Name | Kimberly Warden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437238953 PECOS PAC ID: 6103121611 Enrollment ID: I20171101001448 |
| Provider Name | Erika M Roshanravan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194980060 PECOS PAC ID: 9133397862 Enrollment ID: I20181008000384 |
| Provider Name | Arthur Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083163604 PECOS PAC ID: 4880938497 Enrollment ID: I20181210001102 |
| Provider Name | Jennifer Stanger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912216763 PECOS PAC ID: 8527298066 Enrollment ID: I20190213001032 |
| Provider Name | Wan Ping Teng |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1184125353 PECOS PAC ID: 5799023727 Enrollment ID: I20190215002266 |
| Provider Name | Rose Elvira Waters |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1801163589 PECOS PAC ID: 3870827058 Enrollment ID: I20190621000255 |
| Provider Name | Tuc Quyen Chappell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306320841 PECOS PAC ID: 8325372923 Enrollment ID: I20190702001939 |
| Provider Name | Cynthia Mendez-kohlieber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801282645 PECOS PAC ID: 5698001121 Enrollment ID: I20190722003048 |
| Provider Name | Brittany Edwards |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1437617982 PECOS PAC ID: 5395075337 Enrollment ID: I20190918000957 |
| Provider Name | Gloria Teresa Rodriguez-rooks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679120562 PECOS PAC ID: 0042542474 Enrollment ID: I20191104002238 |
| Provider Name | Carlee A Brown |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1588036123 PECOS PAC ID: 4082047469 Enrollment ID: I20191126002230 |
| Provider Name | James Frederick Dodge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821444183 PECOS PAC ID: 7214369750 Enrollment ID: I20191209001362 |
| Provider Name | Dana Marie Deane |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1093189466 PECOS PAC ID: 9830524115 Enrollment ID: I20200114002837 |
| Provider Name | Frances Southwick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700107471 PECOS PAC ID: 3274751797 Enrollment ID: I20200115002405 |
| Provider Name | Erin Kinmont |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1679111637 PECOS PAC ID: 9133557051 Enrollment ID: I20200306002014 |
| Provider Name | Irving James Phillips |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457707929 PECOS PAC ID: 1658664305 Enrollment ID: I20200326000977 |
| Provider Name | Regan Rae Watson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1659904365 PECOS PAC ID: 0941639793 Enrollment ID: I20200331001163 |
| Provider Name | Katherine Soltero |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245476555 PECOS PAC ID: 4688003056 Enrollment ID: I20200406002607 |
| Provider Name | Anne Elizabeth Seiler |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1861028011 PECOS PAC ID: 1658702030 Enrollment ID: I20200519002678 |
| Provider Name | Sara Marie M Forrest Jaimes |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1750751905 PECOS PAC ID: 5395055545 Enrollment ID: I20200618001879 |
| Provider Name | Michaela Marie Lambert |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1841835766 PECOS PAC ID: 4486080744 Enrollment ID: I20200708001312 |
| Provider Name | Alexandra Peck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275007742 PECOS PAC ID: 6800214511 Enrollment ID: I20200911002670 |
| Provider Name | Jeremy V Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811374549 PECOS PAC ID: 6002236932 Enrollment ID: I20201015000615 |
| Provider Name | Gloria Aimee Gonzalez |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1093314601 PECOS PAC ID: 2163833617 Enrollment ID: I20201204001505 |
| Provider Name | Jennifer Manibot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750995346 PECOS PAC ID: 8426462714 Enrollment ID: I20210127003355 |
| Provider Name | Perla Zuliana Santiago |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952926438 PECOS PAC ID: 6406255975 Enrollment ID: I20210603001363 |
| Provider Name | Veronica Alexander |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902292196 PECOS PAC ID: 5193004596 Enrollment ID: I20210607000225 |
| Provider Name | Aime Castillo Mazantini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346622081 PECOS PAC ID: 4385046762 Enrollment ID: I20210707003136 |
| Provider Name | Daniel Trevizo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972007425 PECOS PAC ID: 5193128742 Enrollment ID: I20210720003987 |
| Provider Name | Sorren Lindstrom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316392657 PECOS PAC ID: 8628309887 Enrollment ID: I20210722001083 |
| Provider Name | Dharshini Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518631555 PECOS PAC ID: 7911303771 Enrollment ID: I20210902003092 |
| Provider Name | Stephanie Katharina Larumbe-smith |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1558813642 PECOS PAC ID: 8022408137 Enrollment ID: I20211203002136 |
| Provider Name | Doris C Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295894350 PECOS PAC ID: 3173918851 Enrollment ID: I20220315002691 |
| Provider Name | Vanessa Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912658220 PECOS PAC ID: 3173918349 Enrollment ID: I20220325000439 |
| Provider Name | Jessica Kaylee Cullen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1003558297 PECOS PAC ID: 3375927999 Enrollment ID: I20220831002308 |
| Provider Name | Gina Alice Silva |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316152523 PECOS PAC ID: 7911378310 Enrollment ID: I20230123001483 |
| Provider Name | Shanley Morgan Schoenhofer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1235882085 PECOS PAC ID: 1557732955 Enrollment ID: I20230123001532 |
| Provider Name | Byron Amilcar Ruiz |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1619454253 PECOS PAC ID: 2860866555 Enrollment ID: I20230320003055 |
| Provider Name | Valentina Marie Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568190700 PECOS PAC ID: 9234504713 Enrollment ID: I20230414001645 |
| Provider Name | Elizabeth Elaine Morales |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1245362441 PECOS PAC ID: 8921387309 Enrollment ID: I20230501002365 |
| Provider Name | Sontine Kalba |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275930364 PECOS PAC ID: 8224496377 Enrollment ID: I20230621002552 |
| Provider Name | Suzanne H Emam |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033428420 PECOS PAC ID: 3870952955 Enrollment ID: I20230707001270 |
| Provider Name | Tina Joanne Lilliedoll |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518177443 PECOS PAC ID: 6305298522 Enrollment ID: I20240123003319 |
Uc Davis Student Health And Counseling Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Shields Ave, Shcs, Davis, CA 95616 Phone: 530-752-2300 Fax: 530-752-2306 | |
Communicare Ole Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1717 5th St, Davis, CA 95616 Phone: 530-758-0354 | |
Ucd Nutritional Assesment Lab Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Tb 156, Davis, CA 95616 Phone: 530-752-2714 | |
Paula Watts-white, M.d., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 635 Anderson Rd Ste 12a, Davis, CA 95616 Phone: 530-750-3400 | |
Communicare Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2051 John Jones Rd, Davis, CA 95616 Phone: 530-758-3498 Fax: 530-758-8490 | |
Woodland Clinic, A Service Of Dignity Health Medical Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2330 W Covell Blvd, Davis, CA 95616 Phone: 530-756-2364 Fax: 530-759-2377 | |
Davis Community Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2040 Sutter Pl, Davis, CA 95616 Phone: 530-758-2060 |