| Norcal Healthconnect Llc | |
|
1375 University Ave Healdsburg CA 95448-3382 | |
| (707) 431-6500 | |
| Not Available |
| Full Name | Norcal Healthconnect Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1375 University Ave, Healdsburg, California |
| Authorized Official Name and Position | Donald W Anderson (ASSISTANT SECRETARY FOR ENROLLMENT) |
| Authorized Official Contact | 4255255392 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Norcal Healthconnect Llc 1111 Sonoma Ave Santa Rosa CA 95405-4819 Ph: () - | Norcal Healthconnect Llc 1375 University Ave Healdsburg CA 95448-3382 Ph: (707) 431-6500 |
| NPI Number | 1720695547 |
|---|---|
| Provider Enumeration Date | 09/25/2020 |
| Last Update Date | 12/18/2023 |
| Medicare PECOS PAC ID | 2466864038 |
|---|---|
| Medicare Enrollment ID | O20210308001127 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720695547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Judy A Widger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821062027 PECOS PAC ID: 1759363831 Enrollment ID: I20040602001466 |
| Provider Name | Alanna Lee Wargula |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1336277730 PECOS PAC ID: 4183710650 Enrollment ID: I20071012000731 |
| Provider Name | Richard M Auld |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144284290 PECOS PAC ID: 0143392126 Enrollment ID: I20080708000689 |
| Provider Name | Gary M Lekander |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1174697783 PECOS PAC ID: 1658433644 Enrollment ID: I20081230000139 |
| Provider Name | K Daniel Rose |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790704518 PECOS PAC ID: 3870638646 Enrollment ID: I20100304000187 |
| Provider Name | Dilip Suryavanshi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104015387 PECOS PAC ID: 1850586744 Enrollment ID: I20101117001219 |
| Provider Name | Barbara A Boylan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013091081 PECOS PAC ID: 2466649579 Enrollment ID: I20101214001328 |
| Provider Name | Harvey R Langee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801818042 PECOS PAC ID: 8820040546 Enrollment ID: I20150807014248 |
| Provider Name | Tiny Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417029133 PECOS PAC ID: 2668609322 Enrollment ID: I20190109002833 |
| Provider Name | Shannon Lyn Manley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780149153 PECOS PAC ID: 1951642743 Enrollment ID: I20190403003276 |
| Provider Name | Dennis A Fito |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346477585 PECOS PAC ID: 7315102761 Enrollment ID: I20200326002127 |
Northern California Medical Associates, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 810 Healdsburg Ave, Healdsburg, CA 95448 Phone: 707-358-0222 Fax: 707-385-0109 | |
Attila Mady Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1375 University St, Healdsburg, CA 95448 Phone: 707-431-6500 | |
Dr Rachel Mayorga Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 421 March Ave Ste D, Healdsburg, CA 95448 Phone: 707-385-0222 Fax: 707-629-4849 | |
Alliance Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1381 University St, Healdsburg, CA 95448 Phone: 707-433-5494 Fax: 707-385-2157 | |
Tehco Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1375 University St, Healdsburg, CA 95448 Phone: 702-453-3799 Fax: 702-453-5741 | |
Dr Ghazaleh Bahrami Professional Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1375 University St, Healdsburg, CA 95448 Phone: 702-453-3799 Fax: 702-453-5741 | |
Alliance Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1381 University St, Healdsburg, CA 95448 Phone: 707-433-5494 Fax: 707-385-2157 |