| Sutter Coast Community Clinic | |
|
780 E Washington Blvd Suite 202 Crescent City CA 95531-8397 | |
| (707) 464-6715 | |
| (707) 465-0870 |
| Full Name | Sutter Coast Community Clinic |
|---|---|
| Speciality | General Practice |
| Location | 780 E Washington Blvd, Crescent City, California |
| Authorized Official Name and Position | Mitch Hanna (CEO) |
| Authorized Official Contact | 7074648880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sutter Coast Community Clinic 800 E Washington Blvd Crescent City CA 95531-8359 Ph: (707) 464-8511 | Sutter Coast Community Clinic 780 E Washington Blvd Suite 202 Crescent City CA 95531-8397 Ph: (707) 464-6715 |
| NPI Number | 1700960267 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 10/10/2016 |
| Medicare PECOS PAC ID | 9436148111 |
|---|---|
| Medicare Enrollment ID | O20040827000424 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700960267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Robin Zagone |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1023192960 PECOS PAC ID: 3870565492 Enrollment ID: I20040812000617 |
| Provider Name | Adour Adrouny |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447298955 PECOS PAC ID: 0941264329 Enrollment ID: I20041116000292 |
| Provider Name | Lawrence W Milne |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285655399 PECOS PAC ID: 8123082419 Enrollment ID: I20041117000302 |
| Provider Name | Matthew C Blundell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073511796 PECOS PAC ID: 7517864648 Enrollment ID: I20050412001161 |
| Provider Name | Albert A Mcclain |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1811006786 PECOS PAC ID: 8325087257 Enrollment ID: I20050429000300 |
| Provider Name | John H Kirk |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922020783 PECOS PAC ID: 0941216196 Enrollment ID: I20060227000225 |
| Provider Name | Edward Albert Cefala |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992710131 PECOS PAC ID: 3274530407 Enrollment ID: I20061101000494 |
| Provider Name | Sheldon Nmi Meshulam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184720740 PECOS PAC ID: 7719076280 Enrollment ID: I20080520000288 |
| Provider Name | James Allen Willis |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1538153127 PECOS PAC ID: 7618049701 Enrollment ID: I20080707000521 |
| Provider Name | Elie Hobeika |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134381536 PECOS PAC ID: 7911043591 Enrollment ID: I20091013000282 |
| Provider Name | Stafford Robert Grady |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003888132 PECOS PAC ID: 3870639255 Enrollment ID: I20091015000480 |
| Provider Name | Monica Romo-contreras |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1821294117 PECOS PAC ID: 5890844906 Enrollment ID: I20101021001312 |
| Provider Name | Francis S Lee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720056781 PECOS PAC ID: 3971496456 Enrollment ID: I20120220000326 |
| Provider Name | Amber Lisa Vos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770841249 PECOS PAC ID: 3870758154 Enrollment ID: I20120712000186 |
| Provider Name | Micah D Berry |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376771980 PECOS PAC ID: 5092956201 Enrollment ID: I20130731000624 |
| Provider Name | Adam M Holleran |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568627602 PECOS PAC ID: 6406175652 Enrollment ID: I20150511000281 |
| Provider Name | Lena Mae Snyder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114933249 PECOS PAC ID: 6204838279 Enrollment ID: I20170501001614 |
| Provider Name | Hamzeh Nasri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770832594 PECOS PAC ID: 4082987326 Enrollment ID: I20170907001875 |
| Provider Name | Matthew J Kolosky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023459211 PECOS PAC ID: 8921368226 Enrollment ID: I20180206001394 |
| Provider Name | Karen Grace Chase |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891729406 PECOS PAC ID: 8820991755 Enrollment ID: I20181116000431 |
| Provider Name | Gudrun Heide Reed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598007437 PECOS PAC ID: 8628211968 Enrollment ID: I20210201000122 |
| Provider Name | Katherine Sandoval |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790248417 PECOS PAC ID: 4486047156 Enrollment ID: I20220202001632 |
Redwood Medical Offices Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1240 Marshall St, Crescent City, CA 95531 Phone: 707-465-5566 | |
Open Door Community Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 E Washington Blvd Ste 100, Crescent City, CA 95531 Phone: 707-465-6925 | |
Viteledoc Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 933 3rd St, Crescent City, CA 95531 Phone: 707-343-8884 | |
Sutter Coast Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 785 E. Washington Blvd., Suite 10, Crescent City, CA 95531 Phone: 707-464-8818 Fax: 707-464-8848 | |
United Indian Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1675 Northcrest Dr, Crescent City, CA 95531 Phone: 707-464-2750 Fax: 707-464-2668 | |
Redwood Focused Care Clinics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 286 M St Ste B, Crescent City, CA 95531 Phone: 707-460-1919 | |
Stallant Medical Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 515 E Washington Blvd, Crescent City, CA 95531 Phone: 707-460-1802 |