| Baart Community Healthcare | |
|
1111 Market St 1st Floor San Francisco CA 94103-1513 | |
| (415) 552-7914 | |
| (415) 552-3455 |
| Full Name | Baart Community Healthcare |
|---|---|
| Speciality | Clinic/Center |
| Location | 1111 Market St, San Francisco, California |
| Authorized Official Name and Position | Bruce Jarvie (VP, TREASURER) |
| Authorized Official Contact | 2143793300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baart Community Healthcare 1720 Lakepointe Dr Ste 117 Lewisville TX 75057-6425 Ph: (214) 369-3300 | Baart Community Healthcare 1111 Market St 1st Floor San Francisco CA 94103-1513 Ph: (415) 552-7914 |
| NPI Number | 1982781159 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 09/30/2024 |
| Certification Date | 09/30/2024 |
| Medicare PECOS PAC ID | 5799672515 |
|---|---|
| Medicare Enrollment ID | O20040304000346 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982781159 | NPI | - | NPPES |
| 00G628740 | Medicaid | CA | |
| 00A433511 | Medicaid | CA | |
| CMM70931F | Medicaid | CA | |
| CMM7115F | Medicaid | CA | |
| CMM70933F | Medicaid | CA | |
| CMM70932F | Medicaid | CA | |
| 00A418610 | Medicaid | CA | |
| 00G459400 | Medicaid | CA | |
| CMM70951F | Medicaid | CA | |
| CMM70950F | Medicaid | CA |
| Provider Name | Laurene Spencer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114064342 PECOS PAC ID: 5698750966 Enrollment ID: I20040621001581 |
| Provider Name | William Lumba Quismorio |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326052572 PECOS PAC ID: 5597744375 Enrollment ID: I20040715000733 |
| Provider Name | Sherry Lopez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013043942 PECOS PAC ID: 3274575329 Enrollment ID: I20050527000763 |
| Provider Name | David De La Loza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346326394 PECOS PAC ID: 7911070446 Enrollment ID: I20080716000869 |
| Provider Name | Farhad S Mahjouri |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1497902993 PECOS PAC ID: 0749329019 Enrollment ID: I20091125000502 |
| Provider Name | Kyle A Moore |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1568580322 PECOS PAC ID: 1759573405 Enrollment ID: I20101013000296 |
| Provider Name | Rubi Delgadillo Cortes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568733277 PECOS PAC ID: 6103052931 Enrollment ID: I20131126000888 |
| Provider Name | Thomas R Farnham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124186085 PECOS PAC ID: 4880769744 Enrollment ID: I20170331000483 |
| Provider Name | Rose Sandoval |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215253885 PECOS PAC ID: 1951687763 Enrollment ID: I20180611002630 |
| Provider Name | Eliza B Rivera-mitu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104167758 PECOS PAC ID: 0840422424 Enrollment ID: I20200417000822 |
| Provider Name | Carl Evan Mascarinas Birondo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376012567 PECOS PAC ID: 4587084967 Enrollment ID: I20201023002319 |
| Provider Name | Lynn F Lo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245579481 PECOS PAC ID: 7012287527 Enrollment ID: I20210106002552 |
| Provider Name | Henrietta C Nwaibe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508306176 PECOS PAC ID: 5991107708 Enrollment ID: I20210715001157 |
| Provider Name | Elizabeth Friday |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851855779 PECOS PAC ID: 2668868480 Enrollment ID: I20220404002695 |
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