| Community Health Centers Of America | |
|
5320 Highway 49 N Mariposa CA 95338-9588 | |
| (209) 575-4575 | |
| (209) 575-4598 |
| Full Name | Community Health Centers Of America |
|---|---|
| Speciality | Clinic/Center |
| Location | 5320 Highway 49 N, Mariposa, California |
| Authorized Official Name and Position | Jamie Dole (DR) |
| Authorized Official Contact | 2095754575 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Centers Of America Po Box 3091 Modesto CA 95353-3091 Ph: (209) 575-4575 | Community Health Centers Of America 5320 Highway 49 N Mariposa CA 95338-9588 Ph: (209) 575-4575 |
| NPI Number | 1891207684 |
|---|---|
| Provider Enumeration Date | 11/02/2017 |
| Last Update Date | 09/23/2024 |
| Medicare PECOS PAC ID | 3476813460 |
|---|---|
| Medicare Enrollment ID | O20180213001169 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891207684 | NPI | - | NPPES |
| 75-1169 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A86330 (California) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Gholamreza Vafadouste |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164470639 PECOS PAC ID: 2264331123 Enrollment ID: I20040112000096 |
| Provider Name | William Uykeson Khieu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942203526 PECOS PAC ID: 2365438918 Enrollment ID: I20040610000607 |
| Provider Name | Nandeesh Veerappa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508834938 PECOS PAC ID: 1658318704 Enrollment ID: I20050411001121 |
| Provider Name | Leslie P Kalman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528015203 PECOS PAC ID: 0749221307 Enrollment ID: I20050513000644 |
| Provider Name | Prithvi N Shankar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790772838 PECOS PAC ID: 2961431614 Enrollment ID: I20050811001144 |
| Provider Name | Tahir Yaqub |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326077280 PECOS PAC ID: 7012917297 Enrollment ID: I20070111000650 |
| Provider Name | Chandan S Cheema |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053488114 PECOS PAC ID: 1153381645 Enrollment ID: I20070730000367 |
| Provider Name | Hipolito G Mariano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376685685 PECOS PAC ID: 2062503337 Enrollment ID: I20070801000612 |
| Provider Name | Ramnik K Josan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699965731 PECOS PAC ID: 6800989229 Enrollment ID: I20070830000497 |
| Provider Name | Priti T Modi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568440246 PECOS PAC ID: 0244311793 Enrollment ID: I20080122000829 |
| Provider Name | Zarlasht Fakiri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821265448 PECOS PAC ID: 1557420833 Enrollment ID: I20081030000824 |
| Provider Name | April Lynn Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568561553 PECOS PAC ID: 1850452715 Enrollment ID: I20081210000547 |
| Provider Name | Harkamal Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831342534 PECOS PAC ID: 5991850067 Enrollment ID: I20090826000538 |
| Provider Name | Manbir Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225131675 PECOS PAC ID: 3375669690 Enrollment ID: I20100923001354 |
| Provider Name | Gerald D Austin |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1760634513 PECOS PAC ID: 0244356053 Enrollment ID: I20100929001397 |
| Provider Name | Harkesh S Sandhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457334062 PECOS PAC ID: 2860685583 Enrollment ID: I20101026000430 |
| Provider Name | Aruna Rao |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1245378439 PECOS PAC ID: 1254509516 Enrollment ID: I20110713000229 |
| Provider Name | Jaswinder Bajwa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306000922 PECOS PAC ID: 0547433732 Enrollment ID: I20120104000329 |
| Provider Name | Kulbir Dhillon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720179450 PECOS PAC ID: 1456432780 Enrollment ID: I20120126000449 |
| Provider Name | Jaswant G Virk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942378773 PECOS PAC ID: 2365506318 Enrollment ID: I20120925000132 |
| Provider Name | Lionel Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881996445 PECOS PAC ID: 2860627411 Enrollment ID: I20131106002011 |
| Provider Name | Angelyn Cardenas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982010492 PECOS PAC ID: 5092034058 Enrollment ID: I20150425000149 |
| Provider Name | Manmeet Johal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225371925 PECOS PAC ID: 5496064115 Enrollment ID: I20151020003010 |
| Provider Name | Ravinderjit Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265695563 PECOS PAC ID: 7214183995 Enrollment ID: I20151029001289 |
| Provider Name | Jose I Buenrostro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861839151 PECOS PAC ID: 7517251960 Enrollment ID: I20160808000546 |
| Provider Name | Preetinder Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083035943 PECOS PAC ID: 9537448378 Enrollment ID: I20161117002003 |
| Provider Name | Ashee Amjad Amjad Waryam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760920391 PECOS PAC ID: 8921370255 Enrollment ID: I20170822002762 |
| Provider Name | Carrie Katherine Grouse |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457670028 PECOS PAC ID: 6204141989 Enrollment ID: I20170918001871 |
| Provider Name | Anjali Dixit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932488566 PECOS PAC ID: 5193099893 Enrollment ID: I20170919002825 |
| Provider Name | Sukhwinder Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356755359 PECOS PAC ID: 0840593901 Enrollment ID: I20171006001968 |
| Provider Name | Shailaja Vemulapalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346223443 PECOS PAC ID: 1052687233 Enrollment ID: I20171017001249 |
| Provider Name | Anoopinder Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205343720 PECOS PAC ID: 4688935273 Enrollment ID: I20180222000546 |
| Provider Name | Thanh Trang Thi Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497907083 PECOS PAC ID: 4486915022 Enrollment ID: I20180222002894 |
| Provider Name | Joash Kipkurui Kemei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689163990 PECOS PAC ID: 1850639188 Enrollment ID: I20190212003069 |
| Provider Name | Kevin A Tran |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1013007517 PECOS PAC ID: 5597005132 Enrollment ID: I20190319001536 |
| Provider Name | Jaspreet Nanra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982055760 PECOS PAC ID: 2365781895 Enrollment ID: I20190417001687 |
| Provider Name | Gaganpreet Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821551953 PECOS PAC ID: 2466789524 Enrollment ID: I20190812003266 |
| Provider Name | Noriko Tei Boyd Anderson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841617925 PECOS PAC ID: 0648568550 Enrollment ID: I20190822004302 |
| Provider Name | Damandeep Kaur Baidwan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760838981 PECOS PAC ID: 9133458847 Enrollment ID: I20190905002051 |
| Provider Name | Erin O'rourke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700435237 PECOS PAC ID: 1850723875 Enrollment ID: I20191113001657 |
| Provider Name | Neha Tyagi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518372986 PECOS PAC ID: 3870925571 Enrollment ID: I20191119000933 |
| Provider Name | Sylvia Leticia Rodriguez-adedoja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679121768 PECOS PAC ID: 7719310309 Enrollment ID: I20191212002427 |
| Provider Name | Diana Pulido Martil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366959165 PECOS PAC ID: 9739440595 Enrollment ID: I20200115002658 |
| Provider Name | Alisa M Salvestrini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922640184 PECOS PAC ID: 7416382650 Enrollment ID: I20200126000006 |
| Provider Name | Cynthia Jean Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831726694 PECOS PAC ID: 3274964499 Enrollment ID: I20200503000050 |
| 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 | Abdulhalim Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235583493 PECOS PAC ID: 7911297767 Enrollment ID: I20200730000444 |
| Provider Name | Marichu Garcia David |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457964504 PECOS PAC ID: 4880001452 Enrollment ID: I20210326000264 |
| Provider Name | Daljit Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295344042 PECOS PAC ID: 4385052489 Enrollment ID: I20210408002252 |
| Provider Name | Gurdeep Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821607797 PECOS PAC ID: 0143632380 Enrollment ID: I20210414001669 |
| Provider Name | Jagdeep Kaur |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467682260 PECOS PAC ID: 2264672138 Enrollment ID: I20210426002168 |
| Provider Name | Amandeep Kaur Sohi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881232775 PECOS PAC ID: 1759780059 Enrollment ID: I20210518002289 |
| Provider Name | Maria Mallick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902471535 PECOS PAC ID: 5193125789 Enrollment ID: I20210618001792 |
| Provider Name | Pierre Rodricus Martin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265964779 PECOS PAC ID: 6608295050 Enrollment ID: I20210727002039 |
| Provider Name | Virender Athwal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134702947 PECOS PAC ID: 6709280522 Enrollment ID: I20210802000959 |
| Provider Name | Michael Patrick Flannery |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447782032 PECOS PAC ID: 1254735632 Enrollment ID: I20210806001384 |
| Provider Name | Lauren Patrick |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508228040 PECOS PAC ID: 7012268295 Enrollment ID: I20210812002844 |
| Provider Name | Ravinder Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952936346 PECOS PAC ID: 5597153411 Enrollment ID: I20211026003136 |
| Provider Name | Alicia W Belden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609545458 PECOS PAC ID: 7911395504 Enrollment ID: I20211101002809 |
| Provider Name | Lakhbir Sodhi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548790314 PECOS PAC ID: 4880965201 Enrollment ID: I20211108002018 |
| Provider Name | Daniel Lim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053072512 PECOS PAC ID: 3375937998 Enrollment ID: I20220224002677 |
| Provider Name | Flordelis Delacruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962052316 PECOS PAC ID: 9032441860 Enrollment ID: I20220314001914 |
| Provider Name | Sharon Lynn Corbitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457424756 PECOS PAC ID: 2062517659 Enrollment ID: I20220325001833 |
| Provider Name | Tameka Ann Gravesande |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386311330 PECOS PAC ID: 9335535715 Enrollment ID: I20220412001667 |
| Provider Name | Ramsey L Gardner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225535255 PECOS PAC ID: 9638505472 Enrollment ID: I20220727002002 |
| Provider Name | Hannah Fouch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477224152 PECOS PAC ID: 0446632632 Enrollment ID: I20220804001927 |
| Provider Name | Waheeda S Ahmed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962949354 PECOS PAC ID: 3375871205 Enrollment ID: I20220823002063 |
| Provider Name | Erin Feig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740845502 PECOS PAC ID: 3375872864 Enrollment ID: I20220913001260 |
| Provider Name | Erin E Silvera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821723222 PECOS PAC ID: 2961887534 Enrollment ID: I20220917000475 |
| Provider Name | Navneet Boparai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972210284 PECOS PAC ID: 2668840620 Enrollment ID: I20221122002567 |
| Provider Name | Vitalis Egwim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265068878 PECOS PAC ID: 5698147767 Enrollment ID: I20230220000078 |
| Provider Name | Rufina C Onumajuru |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922760321 PECOS PAC ID: 3072986082 Enrollment ID: I20230222000753 |
| Provider Name | Victoria Chigbu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659078426 PECOS PAC ID: 8224401237 Enrollment ID: I20230222000901 |
| Provider Name | Ruben Yu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205289337 PECOS PAC ID: 4385001932 Enrollment ID: I20230613001679 |
| Provider Name | Chanae Joi Haylock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609588979 PECOS PAC ID: 2860851912 Enrollment ID: I20230707000241 |
| Provider Name | Edith Emefuet Alemnji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124697388 PECOS PAC ID: 9537529524 Enrollment ID: I20230724000147 |
| Provider Name | Melinda Martrano |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1346861481 PECOS PAC ID: 0345601027 Enrollment ID: I20230727001374 |
| Provider Name | Nirlaip Kaur Chahal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023795200 PECOS PAC ID: 1052773975 Enrollment ID: I20230809002636 |
| Provider Name | Pritikanta Paul |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801201025 PECOS PAC ID: 6103120746 Enrollment ID: I20230815000963 |
| Provider Name | Neta Duvdevany |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598180341 PECOS PAC ID: 8224261086 Enrollment ID: I20231013001790 |
| Provider Name | Christine L Doss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255729760 PECOS PAC ID: 5991150781 Enrollment ID: I20231013003172 |
| Provider Name | Kwame Ofori Adjepong |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457840787 PECOS PAC ID: 8729407531 Enrollment ID: I20231016002245 |
| Provider Name | Lennard Scot Hey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295834778 PECOS PAC ID: 9830272707 Enrollment ID: I20231108003827 |
| Provider Name | Alisa Anais Mcknight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265117857 PECOS PAC ID: 3870943053 Enrollment ID: I20231229002856 |
| Provider Name | Diana Huizar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922460914 PECOS PAC ID: 7214372614 Enrollment ID: I20240226000815 |
| Provider Name | Resmi Raveendran Nair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699538462 PECOS PAC ID: 9830537232 Enrollment ID: I20240404001130 |
| Provider Name | Talwinder Kaur Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366200891 PECOS PAC ID: 8527400415 Enrollment ID: I20240523001287 |
| Provider Name | Amritpal Kaur Brar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235811571 PECOS PAC ID: 6901348077 Enrollment ID: I20240604002684 |
| Provider Name | Myrna Pulido |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124893011 PECOS PAC ID: 5991145963 Enrollment ID: I20240621000710 |
| Provider Name | Ahmad Mehdipour |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750965323 PECOS PAC ID: 3678918315 Enrollment ID: I20240918004844 |
| Provider Name | Justina Ozioma Obi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801493671 PECOS PAC ID: 6709327687 Enrollment ID: I20240919001051 |
| Provider Name | Maureen Alsol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508683376 PECOS PAC ID: 8628218971 Enrollment ID: I20241030001969 |
| Provider Name | Satwinder Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912583329 PECOS PAC ID: 9739589730 Enrollment ID: I20241106003130 |
| Provider Name | Marquirsha Claxton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518790765 PECOS PAC ID: 8921532326 Enrollment ID: I20241107002002 |
| Provider Name | Patrick O Eronini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568078079 PECOS PAC ID: 6204963788 Enrollment ID: I20241206003319 |
| Provider Name | Sukhvir Kaur Bains |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467276014 PECOS PAC ID: 5496281842 Enrollment ID: I20241209001400 |
| Provider Name | Zendre Latressa Strother |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487491155 PECOS PAC ID: 7810423928 Enrollment ID: I20241212003673 |
| Provider Name | Philip Al Alibudbud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972338382 PECOS PAC ID: 4587193388 Enrollment ID: I20250123002104 |
| Provider Name | Xuantong Su |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790500205 PECOS PAC ID: 3971033507 Enrollment ID: I20250211003013 |
Robert J. Rose, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5300 Hwy 49n, Mariposa, CA 95338 Phone: 209-966-3672 Fax: 209-966-5548 | |
John C. Fremont Healthcare District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5186 Hospital Rd, Mariposa, CA 95338 Phone: 209-966-3631 Fax: 209-966-3776 | |
Camarena Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5082 Old Hwy N, Mariposa, CA 95338 Phone: 559-664-4000 Fax: 559-675-5625 | |
John C. Fremont Healthcare District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5189 Hospital Rd, Mariposa, CA 95338 Phone: 209-966-3631 Fax: 209-966-3776 | |
John C Fremont Healthcare District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5189 Hospital Rd, Mariposa, CA 95338 Phone: 209-966-3631 Fax: 209-966-3776 | |
John C. Fremont Healthcare District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5189 Hospital Rd, Mariposa, CA 95338 Phone: 209-966-3631 Fax: 209-966-3776 | |
Mariposa Wellness, A Professional Nursing Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5074 Jones St, Mariposa, CA 95338 Phone: 209-718-5150 Fax: 209-718-5155 |