| Living Water Community Health & Wellness Clinic | |
|
222 W Henderson Ave Porterville CA 93257-1731 | |
| (559) 784-5483 | |
| Not Available |
| Full Name | Living Water Community Health & Wellness Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 222 W Henderson Ave, Porterville, California |
| Authorized Official Name and Position | Brandy Leyva (CLINIC MANAGER) |
| Authorized Official Contact | 5597198108 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Water Community Health & Wellness Clinic 222 W Henderson Ave Porterville CA 93257-1731 Ph: (559) 784-5483 | Living Water Community Health & Wellness Clinic 222 W Henderson Ave Porterville CA 93257-1731 Ph: (559) 784-5483 |
| NPI Number | 1609124692 |
|---|---|
| Provider Enumeration Date | 08/22/2012 |
| Last Update Date | 07/21/2023 |
| Medicare PECOS PAC ID | 9436395324 |
|---|---|
| Medicare Enrollment ID | O20130419000312 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609124692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jose R Salas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427062157 PECOS PAC ID: 9830135177 Enrollment ID: I20050707001104 |
| Provider Name | Carolyn Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366495368 PECOS PAC ID: 8325196157 Enrollment ID: I20090504000548 |
| Provider Name | Joel F Ramirez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124356829 PECOS PAC ID: 0840321774 Enrollment ID: I20100621000907 |
| Provider Name | Ranjeet S Bajwa |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881841575 PECOS PAC ID: 8426118134 Enrollment ID: I20110315000621 |
| Provider Name | Erick Madrigal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437478856 PECOS PAC ID: 7315183209 Enrollment ID: I20130419000357 |
| Provider Name | Leslee Jean Heuer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962806521 PECOS PAC ID: 0648558700 Enrollment ID: I20161025002522 |
| Provider Name | Brianna Valerie Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144766890 PECOS PAC ID: 5799054128 Enrollment ID: I20170628002382 |
| Provider Name | Jerry A Neria |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790179372 PECOS PAC ID: 4082976634 Enrollment ID: I20180320002822 |
| Provider Name | Mark Jefferson Rivera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780045682 PECOS PAC ID: 8022348879 Enrollment ID: I20190923000676 |
| Provider Name | Christie Joanne Silva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790278232 PECOS PAC ID: 2961837463 Enrollment ID: I20200109003036 |
| Provider Name | Guadalupe Angelina Neria |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093160319 PECOS PAC ID: 5799111225 Enrollment ID: I20200131002665 |
| Provider Name | Martha Guzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538875059 PECOS PAC ID: 5799158713 Enrollment ID: I20230222001255 |
| Provider Name | Robyn Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326732355 PECOS PAC ID: 0840644910 Enrollment ID: I20230922001288 |
| Provider Name | Eduardo Ramon Vargas-deleon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134907355 PECOS PAC ID: 4688020720 Enrollment ID: I20231026001585 |
| Provider Name | Vanessa Vazquez Vidal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720860406 PECOS PAC ID: 4082061171 Enrollment ID: I20231110002183 |
| Provider Name | Ciara K Lopez |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1437573615 PECOS PAC ID: 4082058102 Enrollment ID: I20240216002266 |
Salas Medical Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 575 W Putnam Ave, Porterville, CA 93257 Phone: 559-784-6888 Fax: 559-784-1592 | |
Baart Community Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 89 E Mill Ave, Porterville, CA 93257 Phone: 415-552-7914 Fax: 415-552-3455 | |
Porterville Health Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 E Olive Ave, Porterville, CA 93257 Phone: 559-782-3900 Fax: 559-782-3910 | |
Aria Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 569 W Putnam Ave, Porterville, CA 93257 Phone: 559-781-9301 Fax: 559-782-7639 | |
Alla Liberstein, Md, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 277 W Putnam Ave, Porterville, CA 93257 Phone: 559-793-2587 Fax: 559-793-2525 | |
Oscar Hernandez Md Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 139 E Putnam Ave, Porterville, CA 93257 Phone: 559-784-2176 Fax: 559-784-2652 | |
Sequoia Healthcare Alliance Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 585 W Putnam Ave, Porterville, CA 93257 Phone: 559-781-1665 Fax: 559-781-6036 |