| Planned Parenthood Mar Monte, Inc | |
|
5700 Watt Ave North Highlands CA 95660-4752 | |
| (916) 332-5715 | |
| (916) 332-1849 |
| Full Name | Planned Parenthood Mar Monte, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5700 Watt Ave, North Highlands, California |
| Authorized Official Name and Position | Tom Motsiff (CFO) |
| Authorized Official Contact | 4087953707 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Planned Parenthood Mar Monte, Inc 1691 The Alameda San Jose CA 95126-2203 Ph: (409) 795-3600 | Planned Parenthood Mar Monte, Inc 5700 Watt Ave North Highlands CA 95660-4752 Ph: (916) 332-5715 |
| NPI Number | 1184677163 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 07/25/2019 |
| Medicare PECOS PAC ID | 1456248954 |
|---|---|
| Medicare Enrollment ID | O20040913000563 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184677163 | NPI | - | NPPES |
| CMM70391G | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 030000346 (California) | Primary |
| Provider Name | Karen Michele Webster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548336688 PECOS PAC ID: 8921091778 Enrollment ID: I20040406001872 |
| Provider Name | Meghan C Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649428178 PECOS PAC ID: 0749346039 Enrollment ID: I20090312000123 |
| Provider Name | Cheryl Anne Balaoing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932336377 PECOS PAC ID: 1254478241 Enrollment ID: I20091023000306 |
| Provider Name | Miriam a Sheinbein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649508623 PECOS PAC ID: 2567632052 Enrollment ID: I20110818000567 |
| Provider Name | Nicole Lynn Waitman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952655177 PECOS PAC ID: 9931345402 Enrollment ID: I20130429000641 |
| Provider Name | Gauri Vats |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548646185 PECOS PAC ID: 2769773654 Enrollment ID: I20160623001967 |
| Provider Name | Margaux Lazarin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952628422 PECOS PAC ID: 5799912937 Enrollment ID: I20160707001740 |
| Provider Name | Morgan Theis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124361258 PECOS PAC ID: 8628357415 Enrollment ID: I20161118001017 |
| Provider Name | David Abel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609858224 PECOS PAC ID: 2163556770 Enrollment ID: I20161208002183 |
| Provider Name | Brianna Marie Dee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396120770 PECOS PAC ID: 9234437724 Enrollment ID: I20170207001263 |
| Provider Name | Deborah L. Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194135988 PECOS PAC ID: 8527342252 Enrollment ID: I20170224001444 |
| Provider Name | Emma Ruth Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538477823 PECOS PAC ID: 0244515765 Enrollment ID: I20170324001396 |
| Provider Name | Christina Ann Pipkorn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073035093 PECOS PAC ID: 3971877598 Enrollment ID: I20170920004197 |
| Provider Name | Madison Beal |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1821506866 PECOS PAC ID: 9830450782 Enrollment ID: I20180309001778 |
| Provider Name | Agustina Candelaria Garzon Lopez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184914202 PECOS PAC ID: 6305080680 Enrollment ID: I20180314002109 |
| Provider Name | Jamie Okuzawa-kaste |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619466653 PECOS PAC ID: 8628321783 Enrollment ID: I20181019001644 |
| Provider Name | Stefanie Wu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891204251 PECOS PAC ID: 7214271923 Enrollment ID: I20181206003380 |
| Provider Name | Michelle Lee Heins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518348846 PECOS PAC ID: 2567707854 Enrollment ID: I20181213003240 |
| Provider Name | Lillian Froughieh Hartman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407347271 PECOS PAC ID: 8921345612 Enrollment ID: I20190204002603 |
| Provider Name | Alexis Silao Van Sickle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104336700 PECOS PAC ID: 9234478314 Enrollment ID: I20190307001568 |
| Provider Name | Lauren Ashley Snider |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770090797 PECOS PAC ID: 6800136755 Enrollment ID: I20190313000546 |
| Provider Name | Emily Rae Uphoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386159135 PECOS PAC ID: 5496098451 Enrollment ID: I20190515002579 |
| Provider Name | Sarah Elizabeth Gold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821651175 PECOS PAC ID: 9234465865 Enrollment ID: I20190719001481 |
| Provider Name | Namrata Mastey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720475411 PECOS PAC ID: 1850621822 Enrollment ID: I20190918002047 |
| Provider Name | Cassy Friedrich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427469782 PECOS PAC ID: 3971834169 Enrollment ID: I20191021000969 |
| Provider Name | Joan Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053785949 PECOS PAC ID: 1153757976 Enrollment ID: I20200213002626 |
| Provider Name | Helen Dahlberg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184280505 PECOS PAC ID: 5294163184 Enrollment ID: I20200306000756 |
| Provider Name | Jimmy Phuc Dinh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689216475 PECOS PAC ID: 3274961578 Enrollment ID: I20200403002485 |
| Provider Name | Debbie Ellen Barish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871680868 PECOS PAC ID: 0345670139 Enrollment ID: I20200417003336 |
| Provider Name | Varvara Zeldovich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245763606 PECOS PAC ID: 1557785581 Enrollment ID: I20200722003544 |
| Provider Name | Lisa Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730710344 PECOS PAC ID: 4880011790 Enrollment ID: I20200824001914 |
| Provider Name | Geni Garcia |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346891017 PECOS PAC ID: 1557781192 Enrollment ID: I20201020001468 |
| Provider Name | Allison Ngoc Ngo-garner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417559196 PECOS PAC ID: 0244640696 Enrollment ID: I20201113001354 |
| Provider Name | Audrey Laine Lafraugh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164021481 PECOS PAC ID: 6507277191 Enrollment ID: I20201203001420 |
| Provider Name | Shannon Rose Sickle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851774962 PECOS PAC ID: 1759793946 Enrollment ID: I20201211001472 |
| Provider Name | Danielle E Harik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902225816 PECOS PAC ID: 0446521454 Enrollment ID: I20201214001239 |
| Provider Name | Charlotte Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548799059 PECOS PAC ID: 3375871676 Enrollment ID: I20210208001457 |
| Provider Name | Sheenali Naik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487234803 PECOS PAC ID: 2961811054 Enrollment ID: I20210430000990 |
| Provider Name | Isabel a Elias |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649596008 PECOS PAC ID: 1557770088 Enrollment ID: I20210512002641 |
| Provider Name | Jessica W Hamilton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407116007 PECOS PAC ID: 7517181894 Enrollment ID: I20210520002431 |
| Provider Name | Karen Ashley Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033792353 PECOS PAC ID: 5597165407 Enrollment ID: I20210615001575 |
| Provider Name | Rachel Thornton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033703038 PECOS PAC ID: 6305241563 Enrollment ID: I20210826000239 |
| Provider Name | Hannah R Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265104293 PECOS PAC ID: 2466840707 Enrollment ID: I20211019002502 |
| Provider Name | Vincent Patrick O'brien Guerrero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114586583 PECOS PAC ID: 9537545215 Enrollment ID: I20221004000689 |
| Provider Name | Alyssa Joy Connors |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1306552146 PECOS PAC ID: 7719359314 Enrollment ID: I20230208000759 |
| Provider Name | Ashleigh Taylor Watson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487111217 PECOS PAC ID: 0244605715 Enrollment ID: I20230414001220 |
| Provider Name | Vivian Huang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487278040 PECOS PAC ID: 7810356334 Enrollment ID: I20230630002336 |
| Provider Name | Clarissa Mae Domingo-javier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811696883 PECOS PAC ID: 6204296551 Enrollment ID: I20230718002144 |
| Provider Name | Emelle Fleur Fajardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710604673 PECOS PAC ID: 9133589096 Enrollment ID: I20230724003193 |
| Provider Name | Elena Wei-na Sinha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750161022 PECOS PAC ID: 7214383678 Enrollment ID: I20231023000318 |
| Provider Name | Kathyanne Monica Ricci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114641271 PECOS PAC ID: 2961859657 Enrollment ID: I20231117001594 |
| Provider Name | Alyssa Sahu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154100568 PECOS PAC ID: 4385092980 Enrollment ID: I20240112002142 |
| Provider Name | Kelly Jean Garrison Garmur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700195260 PECOS PAC ID: 1456794817 Enrollment ID: I20240213002333 |
| Provider Name | Walena Rochester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689455255 PECOS PAC ID: 7810333937 Enrollment ID: I20240312002216 |
| Provider Name | Natasha Sablok |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083466973 PECOS PAC ID: 5991145856 Enrollment ID: I20240425004100 |
| Provider Name | Carly Rick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568226223 PECOS PAC ID: 3870933310 Enrollment ID: I20240430003966 |
| Provider Name | Alison Lutz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568825255 PECOS PAC ID: 7012202674 Enrollment ID: I20240621002367 |
| Provider Name | Emma Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952751992 PECOS PAC ID: 2769866094 Enrollment ID: I20240806000333 |
| Provider Name | Andrew Gerenraich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811571045 PECOS PAC ID: 3072916378 Enrollment ID: I20240904004880 |
| Provider Name | Leah Eskinder |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154102010 PECOS PAC ID: 6507306875 Enrollment ID: I20240912004429 |
| Provider Name | Elizabeth Porter Dixon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366182016 PECOS PAC ID: 1658802228 Enrollment ID: I20241007002542 |
| Provider Name | Jainaba Dumbuya |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558143776 PECOS PAC ID: 3870025638 Enrollment ID: I20241017002252 |
| Provider Name | Ching Man Chee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063258036 PECOS PAC ID: 7416481825 Enrollment ID: I20241107002604 |
| Provider Name | Breiah Latrice Estes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558183004 PECOS PAC ID: 6103352315 Enrollment ID: I20241211003532 |
| Provider Name | Kayla Nicole Rasmussen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578294625 PECOS PAC ID: 4981059664 Enrollment ID: I20241213002445 |
| Provider Name | Khushali Mukesh Patel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740922251 PECOS PAC ID: 3870022684 Enrollment ID: I20250123002459 |
| Provider Name | Diana Hoang |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750039699 PECOS PAC ID: 6709315484 Enrollment ID: I20250124001650 |
| Provider Name | Alaya Marie Hardy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356986574 PECOS PAC ID: 4688198773 Enrollment ID: I20250410001101 |
| Provider Name | Milo Lior Ehrenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356140172 PECOS PAC ID: 9537685300 Enrollment ID: I20250424003426 |
| Provider Name | Raya Levana Kaplan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194526863 PECOS PAC ID: 9638698939 Enrollment ID: I20250529001465 |
| Provider Name | Rachael Morgan Wise |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811504988 PECOS PAC ID: 6901298009 Enrollment ID: I20260121002607 |
| Provider Name | Melanie Lorraine Lolmaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902768443 PECOS PAC ID: 8325528441 Enrollment ID: I20260217003297 |
| Provider Name | Esha Dholia |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1003523325 PECOS PAC ID: 4880176213 Enrollment ID: I20260305000187 |
| Provider Name | Juanita Lamprecht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083563183 PECOS PAC ID: 1153894506 Enrollment ID: I20260626000578 |
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Motionhealth Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3449 Freedom Park Dr, North Highlands, CA 95660 Phone: 866-632-6627 |
Wellspace Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6015 Watt Ave, #2, North Highlands, CA 95660 Phone: 916-679-3925 Fax: 916-679-3928 |