| Atwater Medical Group | |
|
1775 3rd St Atwater CA 95301-3608 | |
| (209) 358-5611 | |
| (209) 358-0219 |
| Full Name | Atwater Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 1775 3rd St, Atwater, California |
| Authorized Official Name and Position | Steven Laurence Taggart (PARTNER) |
| Authorized Official Contact | 2093585611 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atwater Medical Group 1775 3rd St Atwater CA 95301-3608 Ph: (209) 358-5611 | Atwater Medical Group 1775 3rd St Atwater CA 95301-3608 Ph: (209) 358-5611 |
| NPI Number | 1356438410 |
|---|---|
| Provider Enumeration Date | 10/09/2006 |
| Last Update Date | 09/11/2014 |
| Medicare PECOS PAC ID | 7113927393 |
|---|---|
| Medicare Enrollment ID | O20070111000626 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356438410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 11121 (California) | Primary |
| Provider Name | Barbara M Showalter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669435947 PECOS PAC ID: 8820009087 Enrollment ID: I20060601000183 |
| Provider Name | Tahir Yaqub |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326077280 PECOS PAC ID: 7012917297 Enrollment ID: I20070111000650 |
| Provider Name | Joerg Schuller |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1437120508 PECOS PAC ID: 7214008507 Enrollment ID: I20080613000199 |
| Provider Name | Eric C Disbrow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730150897 PECOS PAC ID: 9830199017 Enrollment ID: I20080613000207 |
| Provider Name | Wellah Marie Sombilla San Buenaventura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548806953 PECOS PAC ID: 3375974223 Enrollment ID: I20200511001325 |
| Provider Name | Norlynda Sarmago Villaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497390876 PECOS PAC ID: 3577994003 Enrollment ID: I20200515001875 |
| Provider Name | Tracy Jackson |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1154436590 PECOS PAC ID: 8921030255 Enrollment ID: I20200527001097 |
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Merced Faculty Associates Medical Group Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1675 Shaffer Rd, Atwater, CA 95301 Phone: 209-383-5500 Fax: 209-383-6910 | |
Merced Faculty Associates Medical Group Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1675 Bellevue Rd, Atwater, CA 95301 Phone: 209-356-3162 Fax: 209-356-3165 | |
Castle Family Health Centers Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1251 Grove Avenue, Atwater, CA 95301 Phone: 209-381-2000 Fax: 209-722-9020 |