| Dept Of Health & Human Services Public Health Branch Clinic | |
|
529 I Street Eureka CA 95501-1116 | |
| (707) 445-6200 | |
| (707) 445-6097 |
| Full Name | Dept Of Health & Human Services Public Health Branch Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 529 I Street, Eureka, California |
| Authorized Official Name and Position | Alexandra Wineland (PUBLIC HEALTH BRANCH DIRECTOR) |
| Authorized Official Contact | 7072682121 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dept Of Health & Human Services Public Health Branch Clinic 529 I Street Eureka CA 95501-1116 Ph: (707) 445-6200 | Dept Of Health & Human Services Public Health Branch Clinic 529 I Street Eureka CA 95501-1116 Ph: (707) 445-6200 |
| NPI Number | 1871676213 |
|---|---|
| Provider Enumeration Date | 10/21/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4082516950 |
|---|---|
| Medicare Enrollment ID | O20040121001146 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871676213 | NPI | - | NPPES |
| CMM70414F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
| Provider Name | Corinne Vivian Basch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790853083 PECOS PAC ID: 1254243868 Enrollment ID: I20031103000394 |
| Provider Name | Gary R Freedman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336210707 PECOS PAC ID: 8325952245 Enrollment ID: I20031114000687 |
| Provider Name | Ralph P Lissaur |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245287960 PECOS PAC ID: 1557318870 Enrollment ID: I20050407000879 |
| Provider Name | Jennifer K Wilson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053575936 PECOS PAC ID: 0648289801 Enrollment ID: I20060417000278 |
| Provider Name | Alexander Chen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861556623 PECOS PAC ID: 6709825466 Enrollment ID: I20070413000363 |
| Provider Name | John L Schaeffer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497743918 PECOS PAC ID: 6507964095 Enrollment ID: I20070606000781 |
| Provider Name | Brian E Thomas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174601652 PECOS PAC ID: 0547150443 Enrollment ID: I20071130000410 |
| Provider Name | David C Villasenor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275673584 PECOS PAC ID: 7517048101 Enrollment ID: I20080122000280 |
| Provider Name | Wendy J Brandon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912004896 PECOS PAC ID: 4183708761 Enrollment ID: I20080220000518 |
| Provider Name | Jonathan D Greenberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245300029 PECOS PAC ID: 6204990542 Enrollment ID: I20090130000424 |
| Provider Name | Rudy P Bayan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023166980 PECOS PAC ID: 8527115211 Enrollment ID: I20090415000577 |
| Provider Name | Paula M Edwalds |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093869661 PECOS PAC ID: 4284783457 Enrollment ID: I20090518000441 |
| Provider Name | Simret Nanda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457518425 PECOS PAC ID: 2365517554 Enrollment ID: I20091116000260 |
| Provider Name | Aliuddin M Khaja |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477754612 PECOS PAC ID: 8123048998 Enrollment ID: I20091125000531 |
| Provider Name | Estelita Marquez Floyd |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194854935 PECOS PAC ID: 9032248513 Enrollment ID: I20100520000923 |
| Provider Name | Mark L Lamers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972636595 PECOS PAC ID: 7911031711 Enrollment ID: I20100816000713 |
| Provider Name | Roxanne Halczak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396749230 PECOS PAC ID: 2769507342 Enrollment ID: I20100920000752 |
| Provider Name | Omar Farooqi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336311315 PECOS PAC ID: 2961696083 Enrollment ID: I20101103000302 |
| Provider Name | Jeannie D Patterson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033257910 PECOS PAC ID: 1254512858 Enrollment ID: I20110301000816 |
| Provider Name | Kara S Zertuche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619272952 PECOS PAC ID: 8729257720 Enrollment ID: I20110809000214 |
| Provider Name | Brigitte Apfel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073780714 PECOS PAC ID: 3779745716 Enrollment ID: I20120508000680 |
| Provider Name | Jasen Andrew Christensen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962541987 PECOS PAC ID: 5799809851 Enrollment ID: I20121217000194 |
| Provider Name | Timothy Gannon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508952847 PECOS PAC ID: 0042101875 Enrollment ID: I20130110000199 |
| Provider Name | Micah T Hoffman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649565417 PECOS PAC ID: 8426297417 Enrollment ID: I20130624000655 |
| Provider Name | Alexander S Cardenas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720342116 PECOS PAC ID: 7214163781 Enrollment ID: I20131112001182 |
| Provider Name | Christopher L White |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528377553 PECOS PAC ID: 1355577909 Enrollment ID: I20131204000642 |
| Provider Name | Daniel M Haycraft |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609938893 PECOS PAC ID: 3577586536 Enrollment ID: I20131204001005 |
| Provider Name | Gloria K Manley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447297718 PECOS PAC ID: 3072604867 Enrollment ID: I20150226000676 |
| Provider Name | Qyana K Griffith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255674495 PECOS PAC ID: 4183935984 Enrollment ID: I20150619002305 |
| Provider Name | Jerry E Makin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649291675 PECOS PAC ID: 5193031789 Enrollment ID: I20150827000479 |
| Provider Name | Eric J Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912297177 PECOS PAC ID: 7315255403 Enrollment ID: I20151009002155 |
| Provider Name | Jonathan B Terry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841424728 PECOS PAC ID: 7416189071 Enrollment ID: I20151117000327 |
| Provider Name | Zaheib Idrees |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063837151 PECOS PAC ID: 9032412051 Enrollment ID: I20160126001608 |
| Provider Name | Darren A Lucas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053548784 PECOS PAC ID: 4082838107 Enrollment ID: I20160204002431 |
| Provider Name | Frederick J Summers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033284872 PECOS PAC ID: 5395041156 Enrollment ID: I20160304001449 |
| Provider Name | Joshua Mark Flatow |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487996302 PECOS PAC ID: 9335434430 Enrollment ID: I20160829002196 |
| Provider Name | Rachael N Adair |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1104229483 PECOS PAC ID: 9931495637 Enrollment ID: I20160906002669 |
| Provider Name | Mottsin Lawrence Thomas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376885293 PECOS PAC ID: 1052690351 Enrollment ID: I20161109000555 |
| Provider Name | Ryan C Green |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053644591 PECOS PAC ID: 3870872609 Enrollment ID: I20161117001631 |
| Provider Name | Yehonatan Borenstein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386063089 PECOS PAC ID: 2769762178 Enrollment ID: I20161130002381 |
| Provider Name | Heather Lewerenz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891902698 PECOS PAC ID: 9335439082 Enrollment ID: I20170215001558 |
| Provider Name | Peter Han |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740722008 PECOS PAC ID: 2163705195 Enrollment ID: I20170216001735 |
| Provider Name | Joel J Morrison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548619927 PECOS PAC ID: 5395022784 Enrollment ID: I20170512001483 |
| Provider Name | Jessica C Immitt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013213842 PECOS PAC ID: 3476821281 Enrollment ID: I20170620003113 |
| Provider Name | Vesta B Wunner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346647559 PECOS PAC ID: 1850663097 Enrollment ID: I20170822003798 |
| Provider Name | Benjamin R Berry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033536073 PECOS PAC ID: 5496028029 Enrollment ID: I20170901002847 |
| Provider Name | John A Fordham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225464993 PECOS PAC ID: 4880969203 Enrollment ID: I20171010002525 |
| Provider Name | Thomas M Nash |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710015334 PECOS PAC ID: 8921354598 Enrollment ID: I20180712000562 |
| Provider Name | Brian Keith Sparks |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780940403 PECOS PAC ID: 6305193434 Enrollment ID: I20180720001563 |
| Provider Name | Alyssa E Thom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538657317 PECOS PAC ID: 7012267503 Enrollment ID: I20180904001906 |
| Provider Name | Julienne O Aulwes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114123213 PECOS PAC ID: 8921277146 Enrollment ID: I20181020000579 |
| Provider Name | Michael Ryan Locher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366995433 PECOS PAC ID: 9032462767 Enrollment ID: I20181026001785 |
| Provider Name | Katherine Rachel Roberts |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740607019 PECOS PAC ID: 4284996331 Enrollment ID: I20181129000216 |
| Provider Name | Tarek Adam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053722736 PECOS PAC ID: 3870838311 Enrollment ID: I20190102002559 |
| Provider Name | Zachary J Stevens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326563065 PECOS PAC ID: 1557607934 Enrollment ID: I20190104002545 |
| Provider Name | Brian Penny |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255725644 PECOS PAC ID: 1456699123 Enrollment ID: I20190205003447 |
| Provider Name | Jeffrey B Caplan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629182969 PECOS PAC ID: 2567547375 Enrollment ID: I20190212000979 |
| Provider Name | Dyani Loo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245573476 PECOS PAC ID: 7214168681 Enrollment ID: I20190722001333 |
| Provider Name | Brian G Barnes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649605171 PECOS PAC ID: 0446582993 Enrollment ID: I20191101001226 |
| Provider Name | Grant Whitfield Meredith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952755969 PECOS PAC ID: 0042504250 Enrollment ID: I20200309002367 |
| Provider Name | Jessica Mosier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669645933 PECOS PAC ID: 7315180031 Enrollment ID: I20200331002062 |
| Provider Name | Nolan Williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811339641 PECOS PAC ID: 5991939282 Enrollment ID: I20200407002635 |
| Provider Name | James J Rockwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942676622 PECOS PAC ID: 2163832270 Enrollment ID: I20201030001959 |
| Provider Name | Panrapee J Mahautmr |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417302118 PECOS PAC ID: 5496163172 Enrollment ID: I20210802002299 |
| Provider Name | Jeffrey A Rich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811324130 PECOS PAC ID: 6305211509 Enrollment ID: I20230330002827 |
| Provider Name | Meghan M Sheeran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376052258 PECOS PAC ID: 0941666887 Enrollment ID: I20230518000685 |
| Provider Name | Keely S Page |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558915918 PECOS PAC ID: 6507210812 Enrollment ID: I20230920002192 |
| Provider Name | Catherine W Munsee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053896498 PECOS PAC ID: 5193179455 Enrollment ID: I20230921000070 |
| Provider Name | Rajdip Barman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326393141 PECOS PAC ID: 0648413849 Enrollment ID: I20240513002681 |
Blue Lotus Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2909 F St, Eureka, CA 95501 Phone: 707-733-3756 | |
Eureka Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2280 Harrison Ave, Suite B, Eureka, CA 95501 Phone: 707-449-9371 Fax: 707-443-2620 | |
With Open Arms / Reproductive Health Care Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2505 Lucas St, Ste B, Eureka, CA 95501 Phone: 707-442-0400 Fax: 707-442-0404 | |
With Opens Arms Reproductive Health Care Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2505 Lucas St, Ste B, Eureka, CA 95501 Phone: 707-442-0400 Fax: 707-442-0404 | |
Arete Physicians Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1915 Harrison Ave, Ste. A, Eureka, CA 95501 Phone: 707-497-6342 Fax: 707-497-6234 | |
Eureka City Schools Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1915 J St, Eureka, CA 95501 Phone: 707-443-4666 | |
Altea Medical California Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2353 23rd St, Eureka, CA 95501 Phone: 775-287-3290 |