| Ronald Johanson, Thomas Wilson, James Maclaren Ptrs | |
|
911 E Tuolumne Rd Turlock CA 95382-1543 | |
| (209) 668-4101 | |
| (209) 668-3758 |
| Full Name | Ronald Johanson, Thomas Wilson, James Maclaren Ptrs |
|---|---|
| Speciality | Family Medicine |
| Location | 911 E Tuolumne Rd, Turlock, California |
| Authorized Official Name and Position | Monica C Kahler (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 2096684101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald Johanson, Thomas Wilson, James Maclaren Ptrs 911 E Tuolumne Rd Turlock CA 95382-1543 Ph: (209) 668-4101 | Ronald Johanson, Thomas Wilson, James Maclaren Ptrs 911 E Tuolumne Rd Turlock CA 95382-1543 Ph: (209) 668-4101 |
| NPI Number | 1538298575 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 10/26/2009 |
| Medicare PECOS PAC ID | 5698715779 |
|---|---|
| Medicare Enrollment ID | O20050509000293 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538298575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | James Knapp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033208145 PECOS PAC ID: 9335189224 Enrollment ID: I20091027000139 |
| Provider Name | Rafael R Soria |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336147040 PECOS PAC ID: 5597800557 Enrollment ID: I20100303000382 |
| Provider Name | Alisha N Pratt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730319906 PECOS PAC ID: 2163606633 Enrollment ID: I20110407000024 |
| Provider Name | Pamela Ann Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407294218 PECOS PAC ID: 0749593267 Enrollment ID: I20150713002113 |
| Provider Name | Danielle Marie Prock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215563093 PECOS PAC ID: 5597186833 Enrollment ID: I20200522000923 |
| Provider Name | James Michael Houser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730777061 PECOS PAC ID: 8022412550 Enrollment ID: I20210805002610 |
Livingston Community Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2141 Colorado Ave, Turlock, CA 95382 Phone: 209-850-3500 | |
Golden Valley Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1199 Delbon Ave Ste 3, Turlock, CA 95382 Phone: 209-667-0905 Fax: 209-667-0922 | |
Golden Valley Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2240 W Monte Vista Ave, Turlock, CA 95382 Phone: 209-667-1270 Fax: 209-667-1269 | |
Vijaya Thakur Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 840 Delbon Ave, Suite B, Turlock, CA 95382 Phone: 209-668-2600 Fax: 209-668-2631 | |
Mark Mangiapane Do Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2200 Colorado Ave, Turlock, CA 95382 Phone: 209-250-2683 Fax: 209-250-2684 | |
Alexander Evens, Do Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1199 Delbon Ave, Ste 5, Turlock, CA 95382 Phone: 209-656-0183 Fax: 209-656-0199 | |
Golden Valley Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1120 Delbon Ave, Turlock, CA 95382 Phone: 209-667-0905 Fax: 209-667-0922 |