Mendocino Community Health Clinic, Inc. | |
333 Laws Ave Ukiah CA 95482-6540 | |
(707) 468-1010 | |
(707) 462-7078 |
Full Name | Mendocino Community Health Clinic, Inc. |
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Speciality | Clinic/Center |
Location | 333 Laws Ave, Ukiah, California |
Authorized Official Name and Position | Linnea J Hunter (C.E.O.) |
Authorized Official Contact | 7074724511 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mendocino Community Health Clinic, Inc. 333 Laws Ave Ukiah CA 95482-6540 Ph: (707) 468-1010 | Mendocino Community Health Clinic, Inc. 333 Laws Ave Ukiah CA 95482-6540 Ph: (707) 468-1010 |
NPI Number | 1497961106 |
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Provider Enumeration Date | 05/16/2007 |
Last Update Date | 03/12/2013 |
Medicare PECOS PAC ID | 6305755455 |
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Medicare Enrollment ID | O20040826001483 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497961106 | NPI | - | NPPES |
FHC03933F | Medicaid | CA | |
FHC70968F | Medicaid | CA | |
FHC70845F | Medicaid | CA |
Provider Name | Steven C Wirth |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609874510 PECOS PAC ID: 1658274998 Enrollment ID: I20040202000608 |
Provider Name | David Gorchoff |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1720098429 PECOS PAC ID: 4385637784 Enrollment ID: I20040402001477 |
Provider Name | Terri L Turner |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1366522831 PECOS PAC ID: 9830188671 Enrollment ID: I20040507000904 |
Provider Name | Adwoa A Christy |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1225017379 PECOS PAC ID: 3173594413 Enrollment ID: I20040802001136 |
Provider Name | Richard P Mcclintock |
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Provider Type | Practitioner - Dermatology |
Provider Identifiers | NPI Number: 1124016712 PECOS PAC ID: 5193791846 Enrollment ID: I20040903000832 |
Provider Name | Adelina B Stateva |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1477588549 PECOS PAC ID: 5698710713 Enrollment ID: I20050620001050 |
Provider Name | Javier Arroyo |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1821183732 PECOS PAC ID: 0941226252 Enrollment ID: I20051017000425 |
Provider Name | Cary B Clevenger |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1386938793 PECOS PAC ID: 8224059498 Enrollment ID: I20051215000320 |
Provider Name | Lawrence M Goldyn |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1780605097 PECOS PAC ID: 1557367588 Enrollment ID: I20061013000269 |
Provider Name | Mary S Ziady |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356421358 PECOS PAC ID: 0042312530 Enrollment ID: I20070301000610 |
Provider Name | Guy R Teran |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1013992452 PECOS PAC ID: 6305734112 Enrollment ID: I20070626000491 |
Provider Name | Karen E Crabtree |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1629276472 PECOS PAC ID: 7719074426 Enrollment ID: I20071027000046 |
Provider Name | Laurence W Hartley |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1083647226 PECOS PAC ID: 8325106214 Enrollment ID: I20081021000880 |
Provider Name | Tedd E Dawson |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1457330680 PECOS PAC ID: 0143388744 Enrollment ID: I20081027000413 |
Provider Name | Stephen G Vance |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1215909379 PECOS PAC ID: 1850332164 Enrollment ID: I20081120000784 |
Provider Name | Jerry E Douglas |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1285603621 PECOS PAC ID: 6608944616 Enrollment ID: I20090713000422 |
Provider Name | Thomas A Bertolli |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811089717 PECOS PAC ID: 4385799568 Enrollment ID: I20090911000627 |
Provider Name | Christina Lynn Lasich |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1679557862 PECOS PAC ID: 1052455177 Enrollment ID: I20100212000407 |
Provider Name | Maria A Finnegan |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1134299134 PECOS PAC ID: 5193860583 Enrollment ID: I20100310000459 |
Provider Name | Paige A Mcintyre |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1265509863 PECOS PAC ID: 1850372772 Enrollment ID: I20100311000296 |
Provider Name | Susan T Hadel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740350768 PECOS PAC ID: 3173658481 Enrollment ID: I20100311000991 |
Provider Name | Scott D Claypool |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609945138 PECOS PAC ID: 2769517895 Enrollment ID: I20100315000844 |
Provider Name | Kristin Jaime Laporte |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1942400148 PECOS PAC ID: 5496837114 Enrollment ID: I20100614000199 |
Provider Name | Carolyn M Wyatt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659699569 PECOS PAC ID: 5597880773 Enrollment ID: I20100910000798 |
Provider Name | Jennifer I Liana |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1497825442 PECOS PAC ID: 4082730080 Enrollment ID: I20100928000417 |
Provider Name | Xochilt J Morales De Martinez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194880468 PECOS PAC ID: 3971790502 Enrollment ID: I20101208001275 |
Provider Name | Melanie A Ulvila |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1184779696 PECOS PAC ID: 5193905073 Enrollment ID: I20110209000911 |
Provider Name | Morton P Hibbert |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1174550511 PECOS PAC ID: 0749461879 Enrollment ID: I20110223000419 |
Provider Name | Kirsten Q Juliet |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1477538700 PECOS PAC ID: 2769667963 Enrollment ID: I20110504000151 |
Provider Name | Dana Estevo |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1730412941 PECOS PAC ID: 8527106483 Enrollment ID: I20111024000602 |
Provider Name | Katrina R Lieben |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1669610812 PECOS PAC ID: 9133284607 Enrollment ID: I20111205000377 |
Provider Name | William W Bowen |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1770593386 PECOS PAC ID: 8224297031 Enrollment ID: I20120314000823 |
Provider Name | Seema Nayak |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1215108642 PECOS PAC ID: 8729239702 Enrollment ID: I20121126000180 |
Provider Name | Karin F Hudson |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1093866998 PECOS PAC ID: 2466605894 Enrollment ID: I20130114000365 |
Provider Name | Cayo Alba |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1164718334 PECOS PAC ID: 3072767813 Enrollment ID: I20130204000288 |
Provider Name | Cheryl R Wantland |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1326181199 PECOS PAC ID: 6800041260 Enrollment ID: I20130311000091 |
Provider Name | Shamir Sevillaperez |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1992077572 PECOS PAC ID: 6406097146 Enrollment ID: I20130723000774 |
Provider Name | Alaina Fields |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1548566813 PECOS PAC ID: 7315108495 Enrollment ID: I20130808000166 |
Provider Name | Navneet Mansukhani |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1518122647 PECOS PAC ID: 8123252897 Enrollment ID: I20131011001058 |
Provider Name | Douglas S Lewis |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1669542627 PECOS PAC ID: 8022242510 Enrollment ID: I20131016002052 |
Provider Name | Sarah F Alvord |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1831402619 PECOS PAC ID: 5991930331 Enrollment ID: I20131021000955 |
Provider Name | Benjamin J Anderson |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1669513750 PECOS PAC ID: 0446480727 Enrollment ID: I20140306000964 |
Provider Name | Kelly L Tracey |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1255441143 PECOS PAC ID: 2961486113 Enrollment ID: I20140319001520 |
Provider Name | Loren F Mcgarvey |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1942416474 PECOS PAC ID: 2567686637 Enrollment ID: I20140610002494 |
Provider Name | Jeremiah Dawson |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1356576946 PECOS PAC ID: 1557500881 Enrollment ID: I20140702000713 |
Provider Name | Kris Yogam |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1265528053 PECOS PAC ID: 4082936752 Enrollment ID: I20141208001649 |
Provider Name | Loretta E Osborne |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205237179 PECOS PAC ID: 7618290875 Enrollment ID: I20141219002020 |
Provider Name | Mario Espindola |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1750657565 PECOS PAC ID: 7517282676 Enrollment ID: I20150211002479 |
Provider Name | Christopher N Ayeko |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174911994 PECOS PAC ID: 2062730963 Enrollment ID: I20150403000883 |
Provider Name | Kevin T Paige |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1326328535 PECOS PAC ID: 4284952573 Enrollment ID: I20150416002362 |
Provider Name | Maureen T Gatt |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1255531034 PECOS PAC ID: 7810208618 Enrollment ID: I20150619002256 |
Provider Name | Tina Ngo |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1043687007 PECOS PAC ID: 9436467743 Enrollment ID: I20151007000782 |
Provider Name | Suzanne L Saunders |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1326195660 PECOS PAC ID: 3779891841 Enrollment ID: I20151009001237 |
Provider Name | Serena A Jones |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1871893230 PECOS PAC ID: 9537462130 Enrollment ID: I20160114000795 |
Provider Name | Jacqueline M Pierce |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1730296039 PECOS PAC ID: 1951576297 Enrollment ID: I20160711001266 |
Provider Name | Katherine A Hylan |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1538516240 PECOS PAC ID: 0042502163 Enrollment ID: I20160711002138 |
Provider Name | Angela V Shahbazian |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1891147161 PECOS PAC ID: 4284929506 Enrollment ID: I20160825002695 |
Provider Name | Erin K Conroy |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1669731329 PECOS PAC ID: 9739475286 Enrollment ID: I20160908002338 |
Provider Name | Devery J Montano |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1083067979 PECOS PAC ID: 5698061927 Enrollment ID: I20160912002615 |
Provider Name | Casey A Johnston |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1699055293 PECOS PAC ID: 0749578904 Enrollment ID: I20161004002220 |
Provider Name | Patrick Henrie |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1275653743 PECOS PAC ID: 0143508341 Enrollment ID: I20161021001930 |
Provider Name | Rebecca J Ellis |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1306397674 PECOS PAC ID: 4880973965 Enrollment ID: I20161111001968 |
Provider Name | Anne C Martin-ko |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1063524460 PECOS PAC ID: 1153601513 Enrollment ID: I20161201001138 |
Provider Name | Grace A Ivey |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1265698369 PECOS PAC ID: 5991086845 Enrollment ID: I20170109000204 |
Provider Name | Sarah D Beach |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356878615 PECOS PAC ID: 0446524805 Enrollment ID: I20170922002721 |
Provider Name | Anne E Stohrer |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1881678027 PECOS PAC ID: 1557389558 Enrollment ID: I20170929001650 |
Provider Name | Carrie A Guilfoyle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700316601 PECOS PAC ID: 3476810722 Enrollment ID: I20171122000834 |
Provider Name | Annunziata Jp Van Voorne |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1083131791 PECOS PAC ID: 1759641327 Enrollment ID: I20180131001279 |
Provider Name | Irinna Andrianarijaona |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376052027 PECOS PAC ID: 3870855034 Enrollment ID: I20180328000625 |
Provider Name | Kathryn Manchester |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1831689025 PECOS PAC ID: 8123376324 Enrollment ID: I20180803001984 |
Provider Name | Suzanna K Sherer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336630334 PECOS PAC ID: 8426306093 Enrollment ID: I20181105003322 |
Provider Name | Liliane Robison |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053890905 PECOS PAC ID: 9830435825 Enrollment ID: I20190417001001 |
Provider Name | Rishika Singh |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1528314747 PECOS PAC ID: 2264662691 Enrollment ID: I20190423002096 |
Provider Name | Pamela Di Franco |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104480581 PECOS PAC ID: 3678807567 Enrollment ID: I20190626002794 |
Provider Name | Phuc Cong Tran |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1457855942 PECOS PAC ID: 5294063798 Enrollment ID: I20190821004164 |
Provider Name | Charissa M Barsos |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215309398 PECOS PAC ID: 4880996875 Enrollment ID: I20191008000526 |
Provider Name | Laili Falatoonzadeh |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1962895797 PECOS PAC ID: 6901137363 Enrollment ID: I20191016001006 |
Provider Name | Connie L Austin |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1821520487 PECOS PAC ID: 9830421221 Enrollment ID: I20191105000982 |
Provider Name | Joseph Iaccino |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1508294844 PECOS PAC ID: 0042643322 Enrollment ID: I20191126002453 |
Provider Name | Mishel Malhotra |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1649717257 PECOS PAC ID: 3577827179 Enrollment ID: I20191210002588 |
Provider Name | Michael D Heinlein |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1740613272 PECOS PAC ID: 6800220674 Enrollment ID: I20200102002779 |
Provider Name | Alexandra Kanat |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1811466097 PECOS PAC ID: 5496185001 Enrollment ID: I20200422003212 |
Provider Name | Eric Emery |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1689060030 PECOS PAC ID: 0840620183 Enrollment ID: I20200428002098 |
Provider Name | Juliann Elizabeth Joseph |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1386262921 PECOS PAC ID: 6709203631 Enrollment ID: I20200824002627 |
Provider Name | Yoshihiro Katsuura |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1386987758 PECOS PAC ID: 4688937428 Enrollment ID: I20201006000076 |
Provider Name | Julia R Katsuura |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1679816938 PECOS PAC ID: 9335380757 Enrollment ID: I20201204002445 |
Provider Name | Donna Lynn Smith |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1588700660 PECOS PAC ID: 5991694499 Enrollment ID: I20210108002070 |
Provider Name | Siamak Sahand |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1609479567 PECOS PAC ID: 2163835927 Enrollment ID: I20210115001510 |
Provider Name | Anna Celeste Hendricks |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1255921052 PECOS PAC ID: 8921417593 Enrollment ID: I20210511002729 |
Provider Name | Angelica Paola Beltran |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1518489855 PECOS PAC ID: 6608277256 Enrollment ID: I20210929001497 |
Provider Name | Sam Lee |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1922779404 PECOS PAC ID: 0143618934 Enrollment ID: I20211027003257 |
Provider Name | Daniel M Cohen |
---|---|
Provider Type | Practitioner - Thoracic Surgery |
Provider Identifiers | NPI Number: 1497720163 PECOS PAC ID: 7113967159 Enrollment ID: I20220614000715 |
Provider Name | Samer Effat Elhakim |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396720710 PECOS PAC ID: 7012984834 Enrollment ID: I20220831000057 |
Provider Name | Roshanda Grayson-thomas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619415874 PECOS PAC ID: 7214342930 Enrollment ID: I20221026000199 |
Provider Name | Brooke Simpson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184375073 PECOS PAC ID: 5890164768 Enrollment ID: I20221215002130 |
Provider Name | Matthew Scott Swain |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417927120 PECOS PAC ID: 4284867920 Enrollment ID: I20230124001484 |
Provider Name | German Cuadra |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1215450739 PECOS PAC ID: 7911378963 Enrollment ID: I20230130001777 |
Provider Name | Brie Alexander Abbe |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1457020398 PECOS PAC ID: 6507238227 Enrollment ID: I20230207000454 |
Provider Name | Jani Benitez |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1407279219 PECOS PAC ID: 6608221338 Enrollment ID: I20231016001173 |
Provider Name | Jacqueline Gay Dotson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174116412 PECOS PAC ID: 4486057593 Enrollment ID: I20231024002117 |
Provider Name | Sean A Re |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1992850317 PECOS PAC ID: 8527419415 Enrollment ID: I20240104002242 |
Adventist Health Physicians Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 232 Hospital Dr Ste B, Ukiah, CA 95482 Phone: 707-463-7356 Fax: 707-462-1051 | |
Medical Offices Of Robert Rushton, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 844 S Dora St, Ukiah, CA 95482 Phone: 707-462-8603 Fax: 707-462-8605 | |
Adventist Health Physicians Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 234 Hospital Dr, Ukiah, CA 95482 Phone: 707-463-7425 | |
Motionhealth Ukiah Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 557 E Perkins St, Ukiah, CA 95482 Phone: 707-467-9664 | |
Galen Inpatient Physician Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 275 Hospital Dr, Ukiah, CA 95482 Phone: 707-462-3111 | |
Adventist Health Physicians Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1050 N State St, Ukiah, CA 95482 Phone: 707-463-7495 Fax: 707-462-7846 | |
Adventist Health Physicians Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 260 Hospital Dr, Suite 103, Ukiah, CA 95482 Phone: 707-463-7490 |