| Masonic Homes Of California | |
|
34400 Mission Blvd Union City CA 94587-3604 | |
| (510) 471-3434 | |
| (510) 476-6329 |
| Full Name | Masonic Homes Of California |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 34400 Mission Blvd, Union City, California |
| Authorized Official Name and Position | Kimberly Rich (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8774886293 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Masonic Homes Of California 34400 Mission Blvd Union City CA 94587-3604 Ph: (510) 471-3434 | Masonic Homes Of California 34400 Mission Blvd Union City CA 94587-3604 Ph: (510) 471-3434 |
| NPI Number | 1114111317 |
|---|---|
| Provider Enumeration Date | 08/30/2007 |
| Last Update Date | 11/22/2019 |
| Medicare PECOS PAC ID | 4183625361 |
|---|---|
| Medicare Enrollment ID | O20200709000957 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114111317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Craig F Conner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831234640 PECOS PAC ID: 5395970891 Enrollment ID: I20131107001641 |
| Provider Name | David J Quinteros |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457669384 PECOS PAC ID: 9032499785 Enrollment ID: I20161215000400 |
| Provider Name | Lisa M. Goodwin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457490617 PECOS PAC ID: 6608289483 Enrollment ID: I20210115002399 |
| Provider Name | Ethan Ornstein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316354434 PECOS PAC ID: 6608284716 Enrollment ID: I20210408002579 |
| Provider Name | Yvette Marie Macdonald |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851519490 PECOS PAC ID: 9830507680 Enrollment ID: I20210416001097 |
| Provider Name | Elba Flores |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801102942 PECOS PAC ID: 2860843661 Enrollment ID: I20240105001801 |
| Provider Name | America Marlene Islas |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1346536919 PECOS PAC ID: 4385187426 Enrollment ID: I20240618001971 |
| Provider Name | Kailie Christine Barnes |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1093362584 PECOS PAC ID: 2163968363 Enrollment ID: I20240724002027 |
| Provider Name | Emanuel Lewis Esquivel |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1124363726 PECOS PAC ID: 7719410919 Enrollment ID: I20241025003783 |
| Provider Name | Alex Weinstein |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1013538487 PECOS PAC ID: 4284161027 Enrollment ID: I20241218001963 |
| Provider Name | Merceal Devault |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1326601246 PECOS PAC ID: 7911434600 Enrollment ID: I20241218004350 |
The Alliance For Community Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1800 H St, Union City, CA 94587 Phone: 510-300-3516 | |
Seneca Family Of Agencies Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Decoto Rd, Union City, CA 94587 Phone: 510-471-2461 Fax: 510-568-8416 | |
Purple Lotus University Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 33615 9th St, Union City, CA 94587 Phone: 510-429-8808 Fax: 510-894-8394 | |
Calli Therapies, Licensed Clinical Social Worker, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 33522 8th St, Union City, CA 94587 Phone: 510-210-0394 | |
Seneca Family Of Agencies Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 G St, Union City, CA 94587 Phone: 510-226-6180 | |
Seneca Family Of Agencies Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 33629 15th St, Union City, CA 94587 Phone: 510-471-2772 |