| Esparto Family Practice | |
|
17050 S. Grafton Street Esparto CA 95627 | |
| (530) 787-3454 | |
| (530) 787-4233 |
| Full Name | Esparto Family Practice |
|---|---|
| Speciality | Clinic/Center |
| Location | 17050 S. Grafton Street, Esparto, California |
| Authorized Official Name and Position | Michael H Kirkpatrick (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2093732833 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Esparto Family Practice Po Box 779 Stockton CA 95201-0779 Ph: (530) 787-3454 | Esparto Family Practice 17050 S. Grafton Street Esparto CA 95627 Ph: (530) 787-3454 |
| NPI Number | 1588729180 |
|---|---|
| Provider Enumeration Date | 12/26/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8426968520 |
|---|---|
| Medicare Enrollment ID | O20100823000982 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588729180 | NPI | - | NPPES |
| FHC03864F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (California) | Primary |
Winters Healthcare Foundation, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17340 Yolo Ave, Esparto, CA 95627 Phone: 530-795-4377 |