| Soledad Medical Clinic | |
|
600 Main St Soledad CA 93960-2533 | |
| (831) 678-2462 | |
| (831) 678-1539 |
| Full Name | Soledad Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 600 Main St, Soledad, California |
| Authorized Official Name and Position | Ida Lopez Chan (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8316782462 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Soledad Medical Clinic 612 Main St Soledad CA 93960-2533 Ph: (831) 678-2462 | Soledad Medical Clinic 600 Main St Soledad CA 93960-2533 Ph: (831) 678-2462 |
| NPI Number | 1003822453 |
|---|---|
| Provider Enumeration Date | 07/31/2006 |
| Last Update Date | 06/28/2021 |
| Medicare PECOS PAC ID | 4385635085 |
|---|---|
| Medicare Enrollment ID | O20090729000329 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003822453 | NPI | - | NPPES |
| RHM53997F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 070000327 (California) | Primary |
| Provider Name | William Uykeson Khieu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942203526 PECOS PAC ID: 2365438918 Enrollment ID: I20040610000607 |
| Provider Name | Raymond J Pena |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003836974 PECOS PAC ID: 0749265759 Enrollment ID: I20040623000700 |
| Provider Name | Jaime Giron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346321197 PECOS PAC ID: 0345324059 Enrollment ID: I20080219000703 |
| Provider Name | Joyce Marianne D Beltran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073949517 PECOS PAC ID: 4587971064 Enrollment ID: I20150916000550 |
| Provider Name | Courtney Jeanne Barry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952419202 PECOS PAC ID: 2466544366 Enrollment ID: I20160422000325 |
Clinica De Salud Del Valle De Salinas Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 799 Front St, Soledad, CA 93960 Phone: 831-678-0881 Fax: 831-678-2803 | |
Salinas Valley State Prison Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 31625 Highway 101 S, Soledad, CA 93960 Phone: 831-678-5500 | |
Pinnacle Family Practice Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2524 H Dela Rosa Sr St, Soledad, CA 93960 Phone: 831-678-8899 Fax: 831-678-4545 | |
William Keson Khieu, Md, Professional Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 547 Front St, Soledad, CA 93960 Phone: 831-900-5110 Fax: 831-900-5110 | |
Mission Center Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2524 H Dela Rosa Sr St, Soledad, CA 93960 Phone: 831-678-8899 Fax: 831-678-4545 |