Go Gently Medical Group. Inc | |
2140 Professional Dr Ste 210 Roseville CA 95661-3776 | |
(916) 970-1700 | |
(916) 751-7290 |
Full Name | Go Gently Medical Group. Inc |
---|---|
Speciality | Internal Medicine |
Location | 2140 Professional Dr Ste 210, Roseville, California |
Authorized Official Name and Position | Melissa Broadway (CHIEF QUALITY OFFICER) |
Authorized Official Contact | 2547605743 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Go Gently Medical Group. Inc 206 N 2100 W Ste 202 Salt Lake City UT 84116-4741 Ph: (801) 325-0175 | Go Gently Medical Group. Inc 2140 Professional Dr Ste 210 Roseville CA 95661-3776 Ph: (916) 970-1700 |
NPI Number | 1447889274 |
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Provider Enumeration Date | 04/03/2020 |
Last Update Date | 01/19/2024 |
Certification Date | 01/19/2024 |
Medicare PECOS PAC ID | 9931510187 |
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Medicare Enrollment ID | O20210331001579 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447889274 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
207RH0002X | Internal Medicine - Hospice And Palliative Medicine | (* (Not Available)) | Primary |
Provider Name | Catherine M Buddemeyer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225692338 PECOS PAC ID: 3072405307 Enrollment ID: I20040329001851 |
Provider Name | Jonathan Nasseri |
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Provider Type | Practitioner - Hospice/palliative Care |
Provider Identifiers | NPI Number: 1184669160 PECOS PAC ID: 0042225971 Enrollment ID: I20070508000419 |
Provider Name | Farhan A Shah |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1609079748 PECOS PAC ID: 8820185911 Enrollment ID: I20071106000871 |
Provider Name | Richard J Heck |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821034000 PECOS PAC ID: 4284716259 Enrollment ID: I20080129000780 |
Provider Name | Pedram Taher |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1669625125 PECOS PAC ID: 3173678687 Enrollment ID: I20090908000129 |
Provider Name | Kevin Keck |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1427092428 PECOS PAC ID: 4486608619 Enrollment ID: I20110131000371 |
Provider Name | Tyronne Snipes |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1861627457 PECOS PAC ID: 2466620554 Enrollment ID: I20110715000064 |
Provider Name | Ligaya Castillo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003940503 PECOS PAC ID: 4688739527 Enrollment ID: I20120424000271 |
Provider Name | Matthew Sean Edmonds |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1629242854 PECOS PAC ID: 7719137710 Enrollment ID: I20121029000713 |
Provider Name | Michelle Laverne Jacobs |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356747687 PECOS PAC ID: 5496078743 Enrollment ID: I20141218000346 |
Provider Name | Abbas S Hasnain |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1164840724 PECOS PAC ID: 1951698935 Enrollment ID: I20160919001353 |
Provider Name | Alexander M Knipper |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699241265 PECOS PAC ID: 1557609047 Enrollment ID: I20190207001409 |
Provider Name | Theresa O Edun |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477965754 PECOS PAC ID: 6103167291 Enrollment ID: I20190418002079 |
Provider Name | Jaswinder K Barn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306331699 PECOS PAC ID: 3274860457 Enrollment ID: I20190809002895 |
Provider Name | Christie Joanne Silva |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790278232 PECOS PAC ID: 2961837463 Enrollment ID: I20200109003036 |
Provider Name | Alana M Swift |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497399430 PECOS PAC ID: 8224464805 Enrollment ID: I20200129002133 |
Provider Name | Myla Thong |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982162970 PECOS PAC ID: 9931533973 Enrollment ID: I20200715000136 |
Provider Name | Jessica Cintron |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376151795 PECOS PAC ID: 8820416175 Enrollment ID: I20200915002696 |
Provider Name | Paula Jean Alloro-lichtenstein |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669046843 PECOS PAC ID: 3870992993 Enrollment ID: I20210521002393 |
Provider Name | Jesus Sandoval |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821684580 PECOS PAC ID: 3577962232 Enrollment ID: I20210528001894 |
Provider Name | Laila Jones |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609323070 PECOS PAC ID: 9830487750 Enrollment ID: I20210803002340 |
Provider Name | Natasha Ann Miller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811663347 PECOS PAC ID: 9436556248 Enrollment ID: I20210921003509 |
Provider Name | Julie Chrisco |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528476256 PECOS PAC ID: 7113206954 Enrollment ID: I20211001002824 |
Provider Name | Jose Luis Luna |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528664760 PECOS PAC ID: 9133527468 Enrollment ID: I20211018000789 |
Provider Name | Nicole Elise |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104276732 PECOS PAC ID: 1759674781 Enrollment ID: I20211026001913 |
Provider Name | Harpreet Kaur Johl |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649930199 PECOS PAC ID: 7416340864 Enrollment ID: I20220207001201 |
Provider Name | Shanna Shaneen Jackson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710506472 PECOS PAC ID: 3577959402 Enrollment ID: I20220401001209 |
Provider Name | Katherine Stackhouse |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477821510 PECOS PAC ID: 5698941391 Enrollment ID: I20220621001034 |
Provider Name | Aldrin Ugay Nieves |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669042438 PECOS PAC ID: 3476934316 Enrollment ID: I20220722002135 |
Provider Name | Maria Quintana |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154830842 PECOS PAC ID: 7911388863 Enrollment ID: I20220722002584 |
Provider Name | Brianna Joy Schneider |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356085740 PECOS PAC ID: 2860876471 Enrollment ID: I20220831001753 |
Provider Name | Caren Vanderpool |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720668262 PECOS PAC ID: 2567846926 Enrollment ID: I20220902000378 |
Provider Name | Vanessa Clara Seal |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811352883 PECOS PAC ID: 3173909884 Enrollment ID: I20221004002102 |
Provider Name | Sonia Mahi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417675406 PECOS PAC ID: 6901272905 Enrollment ID: I20221017000988 |
Provider Name | Reta R Lal |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568929438 PECOS PAC ID: 4385058791 Enrollment ID: I20221017001464 |
Provider Name | Andrew Caleb Townley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154053528 PECOS PAC ID: 3072989979 Enrollment ID: I20221018001835 |
Provider Name | Prabhjot S Grewal |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366174112 PECOS PAC ID: 2860868494 Enrollment ID: I20221021001535 |
Provider Name | Rupinderjit Kaur |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043930449 PECOS PAC ID: 3971979394 Enrollment ID: I20221026000534 |
Provider Name | Miki Boyle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073911715 PECOS PAC ID: 0749657971 Enrollment ID: I20221101001839 |
Provider Name | Katie Marbach |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366187130 PECOS PAC ID: 5799154829 Enrollment ID: I20221213001520 |
Provider Name | Anita Anugwara |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821718800 PECOS PAC ID: 4385014554 Enrollment ID: I20230104000880 |
Provider Name | Maria J Ordenana |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063157352 PECOS PAC ID: 2365813912 Enrollment ID: I20230119000652 |
Provider Name | Unikka Wilson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508590142 PECOS PAC ID: 4183095383 Enrollment ID: I20230126001755 |
Provider Name | Jan Matthew Bosch |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851009724 PECOS PAC ID: 4082086244 Enrollment ID: I20230216000772 |
Provider Name | Shirlene Ann Daw |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821667155 PECOS PAC ID: 9234502758 Enrollment ID: I20230303001676 |
Provider Name | Caroline Go |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881308823 PECOS PAC ID: 5799159786 Enrollment ID: I20230314001540 |
Provider Name | Clifford Leo Faubert |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215407051 PECOS PAC ID: 4486019155 Enrollment ID: I20230502001871 |
Beverly Chang Md, Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1700 Eureka Rd Ste 140a, Roseville, CA 95661 Phone: 916-303-4353 Fax: 916-303-4356 | |
Full Cup Wellness Psychology Professional Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 Eureka Rd Ste 155, Roseville, CA 95661 Phone: 916-705-2896 | |
Crisis Intervention Specialist Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Cirby Hills Dr, Roseville, CA 95678 Phone: 530-401-3894 | |
Samson Psychiatry Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 720 Sunrise Ave Ste 202c, Roseville, CA 95661 Phone: 530-341-2521 Fax: 844-769-4940 | |
Cwc Marriage And Family Therapy Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2200-b Douglas Blvd., Suite 140, Roseville, CA 95661 Phone: 916-299-7271 | |
Placer County Hhs Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Cirby Hills Dr, Roseville, CA 95678 Phone: 916-787-8803 Fax: 916-787-8899 | |
Fall Creek Counceling Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 775 Sunrise Ave, 110, Roseville, CA 95661 Phone: 916-595-7233 |