Weimar Family Care | |
20601 West Paoli Lane Weimar CA 95736-0486 | |
(530) 296-4417 | |
(877) 425-5508 |
Full Name | Weimar Family Care |
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Speciality | Clinic/Center |
Location | 20601 West Paoli Lane, Weimar, California |
Authorized Official Name and Position | Randall Lee Steffens (MEDICAL DIRECTOR) |
Authorized Official Contact | 6156040142 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Weimar Family Care Po Box 486 Weimar CA 95736-0486 Ph: (530) 296-4417 | Weimar Family Care 20601 West Paoli Lane Weimar CA 95736-0486 Ph: (530) 296-4417 |
NPI Number | 1588072698 |
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Provider Enumeration Date | 08/01/2014 |
Last Update Date | 06/14/2016 |
Medicare PECOS PAC ID | 8628299799 |
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Medicare Enrollment ID | O20141015001437 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588072698 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Provider Name | Jack C Lane |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1528037793 PECOS PAC ID: 2466357900 Enrollment ID: I20031205000767 |
Provider Name | Sergio R Riffel |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1619018066 PECOS PAC ID: 9830175215 Enrollment ID: I20040625001161 |
Provider Name | Randall L Steffens |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1992745079 PECOS PAC ID: 7517995681 Enrollment ID: I20070605000497 |
Provider Name | Monte W Penner |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1932321643 PECOS PAC ID: 6507943388 Enrollment ID: I20080403000075 |
Provider Name | Mark E Knoble |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174617799 PECOS PAC ID: 1658431192 Enrollment ID: I20081113000648 |
Provider Name | Mihaela M Hasse |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1073624201 PECOS PAC ID: 5799839445 Enrollment ID: I20090815000025 |
Provider Name | Marie T Georges |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245353309 PECOS PAC ID: 6406937804 Enrollment ID: I20090922000702 |
Provider Name | Judith A Ramsey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447300801 PECOS PAC ID: 8921902859 Enrollment ID: I20100107000527 |
Provider Name | Andrew T Kuninobu |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548318538 PECOS PAC ID: 2466584305 Enrollment ID: I20100713000365 |
Provider Name | Randall D Hensley |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1174622575 PECOS PAC ID: 2860684578 Enrollment ID: I20101012001262 |
Provider Name | Roger D Gallant |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1215077102 PECOS PAC ID: 4486557253 Enrollment ID: I20110826000451 |
Provider Name | Caryn Margaret Banque |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1477685253 PECOS PAC ID: 6608039987 Enrollment ID: I20120524000164 |
Provider Name | Dustin R Varesko |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1568753887 PECOS PAC ID: 1153568027 Enrollment ID: I20150601000588 |
Provider Name | Adam Bills |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1053602540 PECOS PAC ID: 7113157538 Enrollment ID: I20170912003369 |
Provider Name | Brian Glass |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396176202 PECOS PAC ID: 4486920279 Enrollment ID: I20171023001942 |
Provider Name | Anabel S Facemire |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1427043280 PECOS PAC ID: 2567438898 Enrollment ID: I20180216000896 |
Provider Name | Edwin E Nebblett |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558352963 PECOS PAC ID: 3173652716 Enrollment ID: I20180523000684 |
Provider Name | Sonja D Derose |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558849661 PECOS PAC ID: 7113271180 Enrollment ID: I20181109000540 |
Provider Name | Victoria S Razgunas |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609359892 PECOS PAC ID: 1355687351 Enrollment ID: I20190117003646 |
Provider Name | James Hilton Thomas |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1437602273 PECOS PAC ID: 7214263276 Enrollment ID: I20191221000587 |
Provider Name | Samantha B Abbade |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710446133 PECOS PAC ID: 6709213861 Enrollment ID: I20200302001311 |
Provider Name | Hiroko Furo |
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Provider Type | Practitioner - Addiction Medicine |
Provider Identifiers | NPI Number: 1386087849 PECOS PAC ID: 8022304526 Enrollment ID: I20201228002570 |
Provider Name | Irina Shchedrov |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669067013 PECOS PAC ID: 2466860820 Enrollment ID: I20210423000619 |
Provider Name | Miriam R Feese |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1003270505 PECOS PAC ID: 4284043027 Enrollment ID: I20210507002361 |
Provider Name | Ethelyne A Acebedo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629653761 PECOS PAC ID: 3779982855 Enrollment ID: I20210521000687 |
Provider Name | Stephen Sparks |
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Provider Type | Practitioner - Preventive Medicine |
Provider Identifiers | NPI Number: 1326292640 PECOS PAC ID: 0840695698 Enrollment ID: I20210817004114 |
Provider Name | Kerstin L Ferguson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255903803 PECOS PAC ID: 6103224019 Enrollment ID: I20211007000588 |
Provider Name | Ruth S Forde |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1598932345 PECOS PAC ID: 4981887734 Enrollment ID: I20220411001574 |
Provider Name | Nicole F Lescher |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1285025486 PECOS PAC ID: 0042607855 Enrollment ID: I20220426001797 |
Provider Name | Sheila Ann Davis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013384577 PECOS PAC ID: 9638453137 Enrollment ID: I20220720003458 |
Provider Name | Joel S Sabangan |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1871520908 PECOS PAC ID: 6002713237 Enrollment ID: I20220728001662 |
Provider Name | Natalie Ecliseria Taylor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366162943 PECOS PAC ID: 2961888599 Enrollment ID: I20221004003274 |
Provider Name | Joshua A Arvizu |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1255968590 PECOS PAC ID: 9335505650 Enrollment ID: I20230511002028 |
Provider Name | Melissa L Binus |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427433457 PECOS PAC ID: 4587027750 Enrollment ID: I20230906000915 |
Provider Name | Natasha V Jackson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1952641805 PECOS PAC ID: 7416201983 Enrollment ID: I20240226003885 |
Provider Name | Samuel Kim |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750146536 PECOS PAC ID: 3375984537 Enrollment ID: I20240518000605 |
Provider Name | Reynald V Forde |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1932269842 PECOS PAC ID: 7911932421 Enrollment ID: I20240604000907 |
Nedley Clinic P C Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 20601 W Paoli Ln, Weimar, CA 95736 Phone: 530-422-7920 | |
Newstart Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20601 West Paoli Lane, Weimar, CA 95736 Phone: 530-637-4111 Fax: 530-637-4443 |