| Planned Parenthood Shasta Diablo Inc | |
|
2185 Pacheco St Concord CA 94520-2309 | |
| (925) 676-0300 | |
| Not Available |
| Full Name | Planned Parenthood Shasta Diablo Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2185 Pacheco St, Concord, California |
| Authorized Official Name and Position | Kate Strother (BILLING AND DATA MANAGER) |
| Authorized Official Contact | 9256760505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Planned Parenthood Shasta Diablo Inc 2185 Pacheco St Concord CA 94520-2309 Ph: () - | Planned Parenthood Shasta Diablo Inc 2185 Pacheco St Concord CA 94520-2309 Ph: (925) 676-0300 |
| NPI Number | 1982763090 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7012807134 |
|---|---|
| Medicare Enrollment ID | O20050713001139 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982763090 | NPI | - | NPPES |
| CMM70119F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
| Provider Name | Ellen Md Hufbauer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790838860 PECOS PAC ID: 8527050228 Enrollment ID: I20040401001147 |
| Provider Name | Jeffrey Mark Waldman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427117456 PECOS PAC ID: 3173584372 Enrollment ID: I20041021000230 |
| Provider Name | Sally Traber Chaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760486161 PECOS PAC ID: 3779549050 Enrollment ID: I20041208000545 |
| Provider Name | Sachchida N Sinha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629118468 PECOS PAC ID: 2769430420 Enrollment ID: I20050110000380 |
| Provider Name | Megan Rebecca Schwarzman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285758003 PECOS PAC ID: 0547297467 Enrollment ID: I20050722000339 |
| Provider Name | Christine E Dehlendorf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457362691 PECOS PAC ID: 2466454590 Enrollment ID: I20070202000235 |
| Provider Name | Suzan R Goodman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316098866 PECOS PAC ID: 2466557301 Enrollment ID: I20070420000303 |
| Provider Name | Edward M Blumenstock |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235156738 PECOS PAC ID: 8426127101 Enrollment ID: I20080521000303 |
| Provider Name | Leo R Leer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316984842 PECOS PAC ID: 8426126871 Enrollment ID: I20081013000092 |
| Provider Name | Jennifer L Kerns |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518137116 PECOS PAC ID: 4981762655 Enrollment ID: I20081024000030 |
| Provider Name | Antoinette P Martinez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891855052 PECOS PAC ID: 5698827400 Enrollment ID: I20090708000644 |
| Provider Name | Sara L Kennedy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205098225 PECOS PAC ID: 5698829083 Enrollment ID: I20090819000826 |
| Provider Name | Michelle Gdalla Wolfe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720191315 PECOS PAC ID: 2860539111 Enrollment ID: I20091020000157 |
| Provider Name | Nilka Dulan |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1164689568 PECOS PAC ID: 2860564663 Enrollment ID: I20101014001100 |
| Provider Name | Melody Y Hou |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154471092 PECOS PAC ID: 6406957125 Enrollment ID: I20120713000144 |
| Provider Name | Shanna A Thomson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598027658 PECOS PAC ID: 1254570492 Enrollment ID: I20130618000769 |
| Provider Name | Alison Suzanne Hathaway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265770838 PECOS PAC ID: 7618116831 Enrollment ID: I20130620000076 |
| Provider Name | Melissa J Chen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144541582 PECOS PAC ID: 1850519679 Enrollment ID: I20140820000723 |
| Provider Name | Lealah C Pollock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164717047 PECOS PAC ID: 5698906865 Enrollment ID: I20140903002000 |
| Provider Name | Juliana R Melo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376709998 PECOS PAC ID: 9537316856 Enrollment ID: I20140917002015 |
| Provider Name | Tania Basu Serna |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790941177 PECOS PAC ID: 3274795133 Enrollment ID: I20140925002270 |
| Provider Name | Hugh D Kent |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467740662 PECOS PAC ID: 9638302359 Enrollment ID: I20141231001974 |
| Provider Name | Tiffany Lanette Epps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053664912 PECOS PAC ID: 6507089810 Enrollment ID: I20151207001288 |
| Provider Name | Susan F Wilson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184889362 PECOS PAC ID: 4183864747 Enrollment ID: I20161026000580 |
| Provider Name | Mariko E Blumenfeld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750820965 PECOS PAC ID: 2769768449 Enrollment ID: I20170412000503 |
| Provider Name | Malia A Honda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689094989 PECOS PAC ID: 5193011633 Enrollment ID: I20170524001294 |
| Provider Name | Melissa C Matulich |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841568664 PECOS PAC ID: 0547550980 Enrollment ID: I20170607001687 |
| Provider Name | Christine Margaret Henneberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295164903 PECOS PAC ID: 3476837022 Enrollment ID: I20170612002319 |
| Provider Name | Sarah Mariko Gilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932535283 PECOS PAC ID: 2062792435 Enrollment ID: I20170626001089 |
| Provider Name | Cynthia Ann Williams |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1982759338 PECOS PAC ID: 9436457595 Enrollment ID: I20170717002319 |
| Provider Name | Julia Kate Lowenthal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790052728 PECOS PAC ID: 9739459280 Enrollment ID: I20170717002490 |
| Provider Name | Douglas Jimenez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154474781 PECOS PAC ID: 7719879899 Enrollment ID: I20170727002656 |
| Provider Name | Marissa L Kummerling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467897942 PECOS PAC ID: 9032439260 Enrollment ID: I20171030001881 |
| Provider Name | Diana C Wu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588001622 PECOS PAC ID: 8820385511 Enrollment ID: I20180531002862 |
| Provider Name | Carol E Griffin |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1912269408 PECOS PAC ID: 0345499901 Enrollment ID: I20180621002739 |
| Provider Name | Jennifer T Karlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285029256 PECOS PAC ID: 9638450026 Enrollment ID: I20180629002094 |
| Provider Name | Sarah Parrish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457891673 PECOS PAC ID: 2466737937 Enrollment ID: I20181011002123 |
| Provider Name | Kalle Ellen Lunden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306185293 PECOS PAC ID: 4880948579 Enrollment ID: I20181115002080 |
| Provider Name | Jennifer Michelle Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225560139 PECOS PAC ID: 3274810874 Enrollment ID: I20181206003081 |
| Provider Name | Leticia Mariana Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003209933 PECOS PAC ID: 9032422761 Enrollment ID: I20181208000495 |
| Provider Name | Lara M Celli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316346323 PECOS PAC ID: 2769729151 Enrollment ID: I20190123001956 |
| Provider Name | Elizabeth Coughlin Ewing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548678220 PECOS PAC ID: 4486993334 Enrollment ID: I20190311002798 |
| Provider Name | Kayla Elyse Medina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770054678 PECOS PAC ID: 9133461536 Enrollment ID: I20190506001253 |
| Provider Name | Gisselle Elizabeth Suazo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124586755 PECOS PAC ID: 3870836521 Enrollment ID: I20190520002709 |
| Provider Name | Na'amah Razon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295198455 PECOS PAC ID: 4981938958 Enrollment ID: I20190625001650 |
| Provider Name | Montida Caroline Fleming |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124481015 PECOS PAC ID: 0345576591 Enrollment ID: I20190725000373 |
| Provider Name | Nicole Economou |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922558220 PECOS PAC ID: 7517296932 Enrollment ID: I20190911000191 |
| Provider Name | Namrata Mastey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720475411 PECOS PAC ID: 1850621822 Enrollment ID: I20190918002047 |
| Provider Name | Megan Catherine-romain Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174177679 PECOS PAC ID: 9830521459 Enrollment ID: I20191119002387 |
| Provider Name | Molly Marisa Ashkenas Neal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386049450 PECOS PAC ID: 0446574321 Enrollment ID: I20191209002919 |
| Provider Name | Patricia H Sweeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245704303 PECOS PAC ID: 9739515297 Enrollment ID: I20200203000528 |
| Provider Name | Lara Crystal-ornelas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952842270 PECOS PAC ID: 6901136282 Enrollment ID: I20200508000778 |
| Provider Name | Shannon Rose Sickle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851774962 PECOS PAC ID: 1759793946 Enrollment ID: I20201211001472 |
| Provider Name | Kaite Go |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033676549 PECOS PAC ID: 3274905617 Enrollment ID: I20230210001167 |
| Provider Name | Emma Chew Murphy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073074100 PECOS PAC ID: 1557729837 Enrollment ID: I20230619000323 |
| Provider Name | Alixandra Anne Cheitlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245907286 PECOS PAC ID: 0143683995 Enrollment ID: I20230828002472 |
| Provider Name | Holly A Rankin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326508508 PECOS PAC ID: 2365776242 Enrollment ID: I20230925000941 |
| Provider Name | Blake Zwerling |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992237978 PECOS PAC ID: 4981937067 Enrollment ID: I20231009001270 |
| Provider Name | Elizabeth A Micks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144405119 PECOS PAC ID: 6800926809 Enrollment ID: I20231018003774 |
| Provider Name | Whitney Erin Peek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235994112 PECOS PAC ID: 7214375245 Enrollment ID: I20240409004381 |
| Provider Name | Talia Kostick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114423050 PECOS PAC ID: 0143621193 Enrollment ID: I20241011004029 |
| Provider Name | Fay Roepcke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235584681 PECOS PAC ID: 5092042820 Enrollment ID: I20241204000844 |
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