| Vista Complete Care, Inc. | |
|
13555 Bowman Rd Ste 100 Auburn CA 95603-3197 | |
| (530) 885-3951 | |
| (530) 885-3932 |
| Full Name | Vista Complete Care, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 13555 Bowman Rd Ste 100, Auburn, California |
| Authorized Official Name and Position | Daniel Stephen Sewell (OWNER) |
| Authorized Official Contact | 5308853951 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vista Complete Care, Inc. 13555 Bowman Rd Ste 100 Auburn CA 95603-3197 Ph: (530) 885-3951 | Vista Complete Care, Inc. 13555 Bowman Rd Ste 100 Auburn CA 95603-3197 Ph: (530) 885-3951 |
| NPI Number | 1851603278 |
|---|---|
| Provider Enumeration Date | 07/14/2010 |
| Last Update Date | 07/14/2010 |
| Medicare PECOS PAC ID | 7113119454 |
|---|---|
| Medicare Enrollment ID | O20101005001196 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851603278 | NPI | - | NPPES |
| BE326 | Other | PTAN | |
| 1609979723 | Other | NPI |
| Provider Name | Daniel S Sewell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609979723 PECOS PAC ID: 8224932025 Enrollment ID: I20090112000688 |
| Provider Name | Gordon Andrew Marler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366738825 PECOS PAC ID: 4587880620 Enrollment ID: I20151118001629 |
| Provider Name | Chaz J Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588334080 PECOS PAC ID: 3072980051 Enrollment ID: I20221103002046 |
| Provider Name | Trisha Lynne Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255737391 PECOS PAC ID: 9830498120 Enrollment ID: I20240105003370 |
| Provider Name | Bailey Kay Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821795964 PECOS PAC ID: 8527411545 Enrollment ID: I20240125004437 |
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