| American River Visiting Providers | |
|
1451 River Park Dr Ste 213 Sacramento CA 95815-4507 | |
| (916) 365-9100 | |
| Not Available |
| Full Name | American River Visiting Providers |
|---|---|
| Speciality | Family Medicine |
| Location | 1451 River Park Dr Ste 213, Sacramento, California |
| Authorized Official Name and Position | Linda Whiteman (PRACTICE TRANSFORMATION SPECIALIST) |
| Authorized Official Contact | 9163426460 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| American River Visiting Providers 1451 River Park Dr Ste 213 Sacramento CA 95815-4507 | American River Visiting Providers 1451 River Park Dr Ste 213 Sacramento CA 95815-4507 Ph: (916) 365-9100 |
| NPI Number | 1891480695 |
|---|---|
| Provider Enumeration Date | 04/07/2023 |
| Last Update Date | 08/13/2023 |
| Certification Date | 08/13/2023 |
| Medicare PECOS PAC ID | 5991150187 |
|---|---|
| Medicare Enrollment ID | O20231007000601 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891480695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Julie Marie Gebhardt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285665620 PECOS PAC ID: 7810882065 Enrollment ID: I20040217001088 |
| Provider Name | Anant K Lodhia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598846743 PECOS PAC ID: 3870667736 Enrollment ID: I20080811000619 |
| Provider Name | Anthony Ray Carlile |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124106893 PECOS PAC ID: 6901087451 Enrollment ID: I20110216001193 |
| Provider Name | Aarti K Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831507052 PECOS PAC ID: 4981921533 Enrollment ID: I20150319002760 |
| Provider Name | Christa Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508252537 PECOS PAC ID: 2365745981 Enrollment ID: I20160114001485 |
| Provider Name | Antoinette U Guijo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255889242 PECOS PAC ID: 5092002618 Enrollment ID: I20190524000258 |
| Provider Name | Natalya V Stadnitskaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851178909 PECOS PAC ID: 9638528136 Enrollment ID: I20231208002815 |
| Provider Name | Jaclyn Ruth Carino Agustin Victoria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174146211 PECOS PAC ID: 2264873538 Enrollment ID: I20240517000671 |
| Provider Name | Renne Louise Gossic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356943419 PECOS PAC ID: 1951843937 Enrollment ID: I20240605002437 |
| Provider Name | Kelly Elizabeth Brendle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831489103 PECOS PAC ID: 2163993841 Enrollment ID: I20260603002298 |
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