| Florence Wellness Pc | |
|
1802 Foundation Ln Ste 225 Chico CA 95928-9217 | |
| (202) 893-7910 | |
| Not Available |
| Full Name | Florence Wellness Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1802 Foundation Ln Ste 225, Chico, California |
| Authorized Official Name and Position | Jason Randolph Vance (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 5305882689 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Florence Wellness Pc 1802 Foundation Ln Ste 225 Chico CA 95928-9217 Ph: () - | Florence Wellness Pc 1802 Foundation Ln Ste 225 Chico CA 95928-9217 Ph: (202) 893-7910 |
| NPI Number | 1336771088 |
|---|---|
| Provider Enumeration Date | 02/11/2020 |
| Last Update Date | 07/10/2020 |
| Medicare PECOS PAC ID | 9739518895 |
|---|---|
| Medicare Enrollment ID | O20200411000315 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336771088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Dharampal Singh Johal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275530529 PECOS PAC ID: 8527052307 Enrollment ID: I20040413001883 |
| Provider Name | Kurt E Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407881741 PECOS PAC ID: 9830184449 Enrollment ID: I20040414001764 |
| Provider Name | Gurinder P Narain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265400410 PECOS PAC ID: 0143296988 Enrollment ID: I20040902001472 |
| Provider Name | Tsung Peter Wong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073513156 PECOS PAC ID: 5597722868 Enrollment ID: I20041217000723 |
| Provider Name | Michael Z Staszel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417917766 PECOS PAC ID: 0648227454 Enrollment ID: I20050404001144 |
| Provider Name | Gurpreet K Sandhoo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629133319 PECOS PAC ID: 3375581176 Enrollment ID: I20050421001153 |
| Provider Name | Mikio Tachibana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598721227 PECOS PAC ID: 7719928159 Enrollment ID: I20050520000343 |
| Provider Name | Linda M Agresti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255402723 PECOS PAC ID: 2961439492 Enrollment ID: I20050726000780 |
| Provider Name | Ernestina T Agresti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558432021 PECOS PAC ID: 6406884410 Enrollment ID: I20050801000600 |
| Provider Name | Jonathan David Frank |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215003090 PECOS PAC ID: 4385689769 Enrollment ID: I20051114000852 |
| Provider Name | James E Carter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699838094 PECOS PAC ID: 7719998566 Enrollment ID: I20060509000301 |
| Provider Name | Ravin R Sharma |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1679630677 PECOS PAC ID: 2769577196 Enrollment ID: I20071001000436 |
| Provider Name | Carmelo L Roco |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316996465 PECOS PAC ID: 8123114873 Enrollment ID: I20071011000288 |
| Provider Name | Hew W Quon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710074026 PECOS PAC ID: 3274446919 Enrollment ID: I20080208000322 |
| Provider Name | Hing B Luong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588755722 PECOS PAC ID: 7517043771 Enrollment ID: I20080327000759 |
| Provider Name | Richard Earl Thorp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730122029 PECOS PAC ID: 3072594456 Enrollment ID: I20080519000270 |
| Provider Name | Jason R Vance |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912938234 PECOS PAC ID: 6901813468 Enrollment ID: I20080520000918 |
| Provider Name | Richard B Turner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003847450 PECOS PAC ID: 5698660207 Enrollment ID: I20080521000394 |
| Provider Name | Randall S Williams |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1245261114 PECOS PAC ID: 5092887869 Enrollment ID: I20080710000694 |
| Provider Name | Daniel A Ekkens |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1962433839 PECOS PAC ID: 4587737127 Enrollment ID: I20080715000867 |
| Provider Name | Stephen J Casey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902973480 PECOS PAC ID: 8527958057 Enrollment ID: I20080721000548 |
| Provider Name | Irma Y Castro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285652669 PECOS PAC ID: 5698840338 Enrollment ID: I20080814000791 |
| Provider Name | Ara K Soghomonian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447366018 PECOS PAC ID: 7315006517 Enrollment ID: I20081103000459 |
| Provider Name | Intisab Sultan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548362296 PECOS PAC ID: 8628125192 Enrollment ID: I20090421000166 |
| Provider Name | Kalwant S Dhillon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578731428 PECOS PAC ID: 3274684386 Enrollment ID: I20090701000426 |
| Provider Name | Jamaal D El-khal |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1912161324 PECOS PAC ID: 2264585132 Enrollment ID: I20090727000102 |
| Provider Name | Pedram Taher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669625125 PECOS PAC ID: 3173678687 Enrollment ID: I20090908000129 |
| Provider Name | Kirandeep Kaur Batth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124221932 PECOS PAC ID: 4486709896 Enrollment ID: I20090909000408 |
| Provider Name | Ray J Hsiao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164507869 PECOS PAC ID: 4183537731 Enrollment ID: I20090925000451 |
| Provider Name | Jeffrey A Wherry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619977683 PECOS PAC ID: 4082710678 Enrollment ID: I20091019000151 |
| Provider Name | Harneet Chopra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457581597 PECOS PAC ID: 6507912896 Enrollment ID: I20091116000097 |
| Provider Name | Louise Krone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295787554 PECOS PAC ID: 7113069592 Enrollment ID: I20100122000572 |
| Provider Name | David A Palmore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619977444 PECOS PAC ID: 2264576685 Enrollment ID: I20100223000095 |
| Provider Name | Gurjiwan K Gill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205089778 PECOS PAC ID: 4587709613 Enrollment ID: I20100301000634 |
| Provider Name | Tarlochan Singh Tagore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083749204 PECOS PAC ID: 3476680109 Enrollment ID: I20100428000666 |
| Provider Name | Kaushik V Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568539054 PECOS PAC ID: 0446140966 Enrollment ID: I20100727000503 |
| Provider Name | Nader R Kaldas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760492391 PECOS PAC ID: 3274720198 Enrollment ID: I20101203001212 |
| Provider Name | David Ying-feng Lin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679635353 PECOS PAC ID: 3971791096 Enrollment ID: I20101216000071 |
| Provider Name | Siamak P Etehad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184728479 PECOS PAC ID: 6204097108 Enrollment ID: I20120420000336 |
| Provider Name | Baldomero Deleon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891819090 PECOS PAC ID: 8820243645 Enrollment ID: I20130228000435 |
| Provider Name | Juan G Bautista |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1164713194 PECOS PAC ID: 4789820192 Enrollment ID: I20130409000290 |
| Provider Name | Erick Madrigal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437478856 PECOS PAC ID: 7315183209 Enrollment ID: I20130419000357 |
| Provider Name | Yusuf S Ruhullah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184939787 PECOS PAC ID: 6901033059 Enrollment ID: I20140218000111 |
| Provider Name | Mario A Ochoa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851393615 PECOS PAC ID: 5991781718 Enrollment ID: I20140311001225 |
| Provider Name | Ann Nguyen-traxler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376770933 PECOS PAC ID: 2365696523 Enrollment ID: I20150812007957 |
| Provider Name | Robert Avilla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346687225 PECOS PAC ID: 6204055791 Enrollment ID: I20160919000342 |
| Provider Name | Naseem Fatima |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710393210 PECOS PAC ID: 9032449202 Enrollment ID: I20191001002954 |
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