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1131 Community Parkway Hollister CA 95023 | |
| (831) 636-4020 | |
| (831) 636-4025 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 1131 Community Parkway, Hollister, California |
| Authorized Official Name and Position | Dana Edgull (BEHAVIORAL HEALTH DIRECTOR) |
| Authorized Official Contact | 8316364020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
1131 Community Parkway Hollister CA 95023 Ph: (831) 636-4020 | 1131 Community Parkway Hollister CA 95023 Ph: (831) 636-4020 |
| NPI Number | 1255461471 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 05/22/2024 |
| Medicare PECOS PAC ID | 2860655669 |
|---|---|
| Medicare Enrollment ID | O20120515000022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255461471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (California) | Primary |
| Provider Name | Myra A Becraft |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588867949 PECOS PAC ID: 7113980350 Enrollment ID: I20041108001309 |
| Provider Name | Herbert A Cruz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023107513 PECOS PAC ID: 0042204448 Enrollment ID: I20051102000640 |
| Provider Name | Peter S Huang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144245556 PECOS PAC ID: 2163524653 Enrollment ID: I20070301000678 |
| Provider Name | Gene A Oler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396181897 PECOS PAC ID: 4486883196 Enrollment ID: I20140129000698 |
| Provider Name | Ellen Y Suski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356888127 PECOS PAC ID: 7012278971 Enrollment ID: I20180309002271 |
| Provider Name | Michael Fruchter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417272246 PECOS PAC ID: 0941545438 Enrollment ID: I20190103001201 |
| Provider Name | Heather L Rogers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558849349 PECOS PAC ID: 9032584875 Enrollment ID: I20230410002582 |
| Provider Name | David A Dummar |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1861693145 PECOS PAC ID: 3678011434 Enrollment ID: I20240812004260 |
| Provider Name | Nayely Dominguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265909923 PECOS PAC ID: 4688115793 Enrollment ID: I20240917001364 |
| Provider Name | Oscar Alberto Canale |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992830558 PECOS PAC ID: 3173903994 Enrollment ID: I20240918003383 |
| Provider Name | Sandra Lopez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1174985980 PECOS PAC ID: 2961936240 Enrollment ID: I20241108001607 |
Benedict T. Carota Md A Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 901 Sunset Dr, Ste 1, Hollister, CA 95023 Phone: 831-637-1655 Fax: 831-637-6894 | |
Your Medical Group, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 591 Mccray St, Suite 211, Hollister, CA 95023 Phone: 831-531-4213 | |
San Benito County Health & Human Services Agency/public Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 439 4th St, Hollister, CA 95023 Phone: 831-637-5367 Fax: 831-637-9073 | |
Perpetual Help Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 Sunset Dr, Suite 4, Hollister, CA 95023 Phone: 831-636-1571 Fax: 831-636-1706 | |
Daniel Y Wang Md Corp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 920 Sunnyslope Rd, Hollister, CA 95023 Phone: 831-636-1332 Fax: 831-636-1342 |