| North Pacific Cardiology Medical | |
|
3800 Janes Rd Arcata CA 95521-4742 | |
| (707) 822-3621 | |
| Not Available |
| Full Name | North Pacific Cardiology Medical |
|---|---|
| Speciality | Internal Medicine |
| Location | 3800 Janes Rd, Arcata, California |
| Authorized Official Name and Position | Douglas Allen Shaw (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7078227220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Pacific Cardiology Medical Po Box 306 Arcata CA 95518-0306 Ph: (707) 822-7250 | North Pacific Cardiology Medical 3800 Janes Rd Arcata CA 95521-4742 Ph: (707) 822-3621 |
| NPI Number | 1093821837 |
|---|---|
| Provider Enumeration Date | 08/22/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 8426113341 |
|---|---|
| Medicare Enrollment ID | O20090218000168 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093821837 | NPI | - | NPPES |
| 1093821837 | Medicaid | CA | |
| 1093821837 | Other | CA | MEDI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (California) | Primary |
| Provider Name | Frank Zazueta |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386670230 PECOS PAC ID: 6204737703 Enrollment ID: I20040116001082 |
| Provider Name | Thomas H Taylor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942244967 PECOS PAC ID: 5193613776 Enrollment ID: I20040305000714 |
| Provider Name | Daniel Ziegler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346366564 PECOS PAC ID: 7214900653 Enrollment ID: I20040814000270 |
| Provider Name | Greg A Greenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013927441 PECOS PAC ID: 5395720791 Enrollment ID: I20040825000931 |
| Provider Name | Lloyd S Pena |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699863381 PECOS PAC ID: 6002870722 Enrollment ID: I20041112000804 |
| Provider Name | George Zibilich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205898921 PECOS PAC ID: 3375507031 Enrollment ID: I20041112001158 |
| Provider Name | Robert Charles Lyell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487751749 PECOS PAC ID: 1456392018 Enrollment ID: I20050513000664 |
| Provider Name | Andrew H Hooper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053404525 PECOS PAC ID: 9436191640 Enrollment ID: I20050527000420 |
| Provider Name | Kevan E Long |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417169269 PECOS PAC ID: 7315980091 Enrollment ID: I20050603000265 |
| Provider Name | Wahidullah Wahidullah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083640213 PECOS PAC ID: 4981666013 Enrollment ID: I20051018001023 |
| Provider Name | Lawrence Anthony Senffner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730120676 PECOS PAC ID: 2961407762 Enrollment ID: I20061005000410 |
| Provider Name | Christopher E Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821032962 PECOS PAC ID: 6800892308 Enrollment ID: I20061005000425 |
| Provider Name | Tuan A Luu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326001660 PECOS PAC ID: 3577642370 Enrollment ID: I20080505000856 |
| Provider Name | Sheldon Nmi Meshulam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184720740 PECOS PAC ID: 7719076280 Enrollment ID: I20080520000288 |
| Provider Name | David R Ploss |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477638492 PECOS PAC ID: 5890865273 Enrollment ID: I20080528000758 |
| Provider Name | Andrew C Kim |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609978618 PECOS PAC ID: 3274604731 Enrollment ID: I20080708000167 |
| Provider Name | Shahram Abbassi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396774139 PECOS PAC ID: 3375518020 Enrollment ID: I20081118000694 |
| Provider Name | Jeffrey O Mcgillicuddy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871698993 PECOS PAC ID: 2769542620 Enrollment ID: I20081121000368 |
| Provider Name | Mohammed F Siddiqi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003933094 PECOS PAC ID: 8820152861 Enrollment ID: I20090205000441 |
| Provider Name | Kim S Ervin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851331946 PECOS PAC ID: 9436198124 Enrollment ID: I20090901000158 |
| Provider Name | Parin Patel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275780207 PECOS PAC ID: 4486792249 Enrollment ID: I20091116000283 |
| Provider Name | Divis Khaira |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285637298 PECOS PAC ID: 7810981727 Enrollment ID: I20110922000679 |
| Provider Name | Craig Thayer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861548117 PECOS PAC ID: 2062320302 Enrollment ID: I20120103000355 |
| Provider Name | Alison M Palacios |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265708424 PECOS PAC ID: 7911154190 Enrollment ID: I20120822000676 |
| Provider Name | Peri Life Penman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639480064 PECOS PAC ID: 1052554094 Enrollment ID: I20130823000720 |
| Provider Name | Sean M Tierney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578593232 PECOS PAC ID: 3870483787 Enrollment ID: I20150709001847 |
| Provider Name | Truong Thinh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982695300 PECOS PAC ID: 0840263364 Enrollment ID: I20150811004684 |
| Provider Name | Ekow E Acquah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013922814 PECOS PAC ID: 6901971100 Enrollment ID: I20160226001118 |
| Provider Name | Srikanth R Dakoji |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689932436 PECOS PAC ID: 7719209766 Enrollment ID: I20161228002089 |
| Provider Name | Robert Bryan Freeman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548243884 PECOS PAC ID: 0244362598 Enrollment ID: I20170501001403 |
| Provider Name | Jason Yost |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932544632 PECOS PAC ID: 6406080548 Enrollment ID: I20170712003670 |
| Provider Name | Emma Hackett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942542816 PECOS PAC ID: 2769755743 Enrollment ID: I20170913003543 |
| Provider Name | Eurides I.f Lopes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447511803 PECOS PAC ID: 3577852284 Enrollment ID: I20180405000593 |
| Provider Name | Then E Tong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447578992 PECOS PAC ID: 7214161520 Enrollment ID: I20180515002948 |
| Provider Name | Christopher Myers |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336554302 PECOS PAC ID: 8123398427 Enrollment ID: I20191014002749 |
| Provider Name | Kevin M Lin-hurtubise |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508802992 PECOS PAC ID: 0345485322 Enrollment ID: I20201104001727 |
| Provider Name | Daniel B Judd |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073670360 PECOS PAC ID: 6103987938 Enrollment ID: I20210630004132 |
Student Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Harpst St, Building 42, Arcata, CA 95521 Phone: 707-826-5019 Fax: 707-826-5042 | |
O L Puttler Jr Md A Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3798 Janes Rd, Suite 15, Arcata, CA 95521 Phone: 707-822-1131 Fax: 707-822-0746 | |
Pine Mountain Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 770 10th St, Arcata, CA 95521 Phone: 707-826-8633 | |
Christopher E Lee, Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3798 Janes Rd Ste 18, Arcata, CA 95521 Phone: 707-822-0384 Fax: 707-822-4429 | |
Full Circle Center For Integrative Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4641 Valley East Blvd # 2, Arcata, CA 95521 Phone: 707-840-4701 Fax: 855-420-6321 | |
Northcoast Internal Medicine, A Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3798 Janes Rd, Suite 6, Arcata, CA 95521 Phone: 707-826-2210 |