| Dr Edward William Clinite, DO | |
|
680 Guzzi Ln, Suite 106, Sonora, CA 95370-5288 | |
| (209) 532-2792 | |
| Not Available |
| Full Name | Dr Edward William Clinite |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 680 Guzzi Ln, Sonora, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134109010 | NPI | - | NPPES |
| 00AX53200 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A5320 (California) | Primary |
| Entity Name | Sonora Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891732418 PECOS PAC ID: 4284538505 Enrollment ID: O20031119000910 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Edward William Clinite, DO 680 Guzzi Ln, Suite 106, Sonora, CA 95370-5288 Ph: (209) 532-2792 | Dr Edward William Clinite, DO 680 Guzzi Ln, Suite 106, Sonora, CA 95370-5288 Ph: (209) 532-2792 |
Dr. Zachary Scott Barlow, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 193 Fairview Ln, Sonora, CA 95370 Phone: 209-536-5100 | |
Jack Leroy Stclair, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14540 Mono Way, Sonora, CA 95370 Phone: 209-743-7084 Fax: 209-928-5615 | |
Mathea S Salas, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12791 Cabezut Rd, Sonora, CA 95370 Phone: 209-532-5524 Fax: 209-532-1513 | |
Mayline Michelle Nambela-barlow, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 900 Mono Way, Sonora, CA 95370 Phone: 209-536-6925 | |
Dr. Michael Richard Portillo, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 680 Guzzi Ln Ste 106, Sonora, CA 95370 Phone: 209-536-5770 Fax: 209-536-3596 | |
Dr. Matthew Lincoln Personius, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 183 Fairview Ln, Suite A, Sonora, CA 95370 Phone: 209-532-4287 Fax: 209-532-4289 |