| Shafter Rural Healthcare Clinic | |
|
565 Kern St Shafter CA 93263-2133 | |
| (661) 746-4937 | |
| Not Available |
| Full Name | Shafter Rural Healthcare Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 565 Kern St, Shafter, California |
| Authorized Official Name and Position | Novira Sunner (MANAGER) |
| Authorized Official Contact | 6615995310 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shafter Rural Healthcare Clinic 565 Kern St Shafter CA 93263-2133 Ph: () - | Shafter Rural Healthcare Clinic 565 Kern St Shafter CA 93263-2133 Ph: (661) 746-4937 |
| NPI Number | 1609281310 |
|---|---|
| Provider Enumeration Date | 06/23/2014 |
| Last Update Date | 09/27/2023 |
| Medicare PECOS PAC ID | 4587881685 |
|---|---|
| Medicare Enrollment ID | O20140813002697 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609281310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Sonny Hiep Tran |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1427152651 PECOS PAC ID: 3274515036 Enrollment ID: I20040604000291 |
| Provider Name | Chibuike A Anucha |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134232572 PECOS PAC ID: 4880642164 Enrollment ID: I20050104000746 |
| Provider Name | Chan Park |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255336665 PECOS PAC ID: 7517995384 Enrollment ID: I20050908001225 |
| Provider Name | Jae Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841264918 PECOS PAC ID: 6709900368 Enrollment ID: I20100902001059 |
| Provider Name | Jong Moon |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1760545925 PECOS PAC ID: 1153581319 Enrollment ID: I20120326000266 |
| Provider Name | Mary Collignon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194728477 PECOS PAC ID: 9032439120 Enrollment ID: I20150513000050 |
| Provider Name | Danessa D Thorbrogger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265958235 PECOS PAC ID: 2860756459 Enrollment ID: I20180508000226 |
| Provider Name | Kimberly Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902364151 PECOS PAC ID: 2567702525 Enrollment ID: I20190329000507 |
| Provider Name | Julie L Picking |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164064788 PECOS PAC ID: 3173951175 Enrollment ID: I20200324003218 |
| Provider Name | Kamaldeep Pal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245869874 PECOS PAC ID: 2062837768 Enrollment ID: I20200728003462 |
| Provider Name | Fify Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669054953 PECOS PAC ID: 9739582198 Enrollment ID: I20210722000811 |
| Provider Name | Monica Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881875805 PECOS PAC ID: 6103214762 Enrollment ID: I20211101001446 |
| Provider Name | Johnny Agustin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174704845 PECOS PAC ID: 8729470711 Enrollment ID: I20220125002232 |
| Provider Name | Kamaljeet K Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285351528 PECOS PAC ID: 0042685927 Enrollment ID: I20230406000634 |
| Provider Name | Denise Tachiquin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881360543 PECOS PAC ID: 1153775887 Enrollment ID: I20230928001018 |
| Provider Name | Angelica Avila |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447927538 PECOS PAC ID: 3678916988 Enrollment ID: I20240202003306 |
Shafter Rural Health Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 565 Kern St, Shafter, CA 93263 Phone: 661-746-4937 | |
National Heath Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 655 S Central Valley Hwy, Shafter, CA 93263 Phone: 661-746-9194 Fax: 661-746-9197 | |
Omni Family Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 659 S Central Valley Hwy, Shafter, CA 93263 Phone: 661-459-1900 Fax: 661-459-1974 | |
Aviation Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 177 Aviation St, Shafter, CA 93263 Phone: 661-391-4530 Fax: 661-391-4536 | |
Omni Family Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 655 S. Central Valley Hwy, Shafter, CA 93263 Phone: 661-746-9194 Fax: 661-746-9197 | |
Clearview Optometry Corp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1110 E Lerdo Hwy # 200, Shafter, CA 93263 Phone: 661-746-6989 | |
Omni Family Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 James Street, Shafter, CA 93263 Phone: 661-459-1800 Fax: 661-459-1821 |