| Nolan Root, | |
|
400 W Mineral King Ave, Visalia, CA 93291-6237 | |
| (559) 624-2000 | |
| Not Available |
| Full Name | Nolan Root |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 400 W Mineral King Ave, Visalia, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356994776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 58973 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Evergreenhealth Medical Center | Kirkland, WA | Hospital |
| Evergreenhealth Monroe | Monroe, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Evergreen Emergency Services Ps | 4981694155 | 48 |
| Entity Name | King County Public Hospital District No 2 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801986070 PECOS PAC ID: 7618880097 Enrollment ID: O20031111000557 |
| Entity Name | Evergreen Emergency Services PS |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619912524 PECOS PAC ID: 4981694155 Enrollment ID: O20040518000743 |
| Entity Name | Western Washington Emergency Physicians PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801352505 PECOS PAC ID: 0749514735 Enrollment ID: O20190625002379 |
| Mailing Address | Practice Location Address |
|---|---|
| Nolan Root, 400 W Mineral King Ave, Visalia, CA 93291-6237 Ph: (559) 624-2000 | Nolan Root, 400 W Mineral King Ave, Visalia, CA 93291-6237 Ph: (559) 624-2000 |
Manivanh M Baum, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 400 East Oak Street, Visalia, CA 93291 Phone: 559-741-4500 Fax: 559-741-4502 |
Alex Attiku, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 337 N Plaza Dr, Visalia, CA 93291 Phone: 559-366-7177 Fax: 866-421-1361 |
Mr. Rian K Zuniga, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 400 East Oak Street, Visalia, CA 93291 Phone: 559-741-4500 Fax: 559-741-4502 |
Ms. Rosanna J Carrillo, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 137 S Aspen Ct Ste A, Visalia, CA 93291 Phone: 559-334-6720 Fax: 559-429-8240 |
Mr. Paul Lee, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 400 East Oak Street, Visalia, CA 93291 Phone: 559-741-4500 Fax: 559-741-4502 |
Jillian Leigh Duffus Yohannes, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 400 W Mineral King Ave, Visalia, CA 93291 Phone: 559-624-2000 |
Diana Sandoval-venegas Hoang, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 400 W Mineral King Ave, Visalia, CA 93291 Phone: 559-624-2000 |