| 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 | 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 | 05/01/2026 |
| Certification Date | 05/01/2026 |
| 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 | () | 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 | Norbert Gal |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1225197627 PECOS PAC ID: 1658373055 Enrollment ID: I20070214000295 |
| Provider Name | Alicia Eugenia Garcia |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1861518458 PECOS PAC ID: 0547368037 Enrollment ID: I20070606000752 |
| Provider Name | Mary Jane Maun-viduya |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962663005 PECOS PAC ID: 1557401999 Enrollment ID: I20091216000402 |
| Provider Name | Thomas C Collord |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720216161 PECOS PAC ID: 3072658558 Enrollment ID: I20100309000211 |
| Provider Name | Juan M Cabrera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447254792 PECOS PAC ID: 0648378463 Enrollment ID: I20100511000637 |
| 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 | Shimeaka D Hodges |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114236098 PECOS PAC ID: 0446489165 Enrollment ID: I20140129000834 |
| Provider Name | Grant D Hoffman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1154302875 PECOS PAC ID: 9032432430 Enrollment ID: I20141215002596 |
| Provider Name | Manjot K Dhaliwal |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114150703 PECOS PAC ID: 3971827163 Enrollment ID: I20150116000979 |
| Provider Name | Mary Collignon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194728477 PECOS PAC ID: 9032439120 Enrollment ID: I20150513000050 |
| Provider Name | Ira P Wardono |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134324148 PECOS PAC ID: 7618065327 Enrollment ID: I20160401001092 |
| 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 | 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 | Jenny M Huynh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447850367 PECOS PAC ID: 4587035365 Enrollment ID: I20230116000507 |
| Provider Name | Kamaljeet K Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285351528 PECOS PAC ID: 0042685927 Enrollment ID: I20230406000634 |
| Provider Name | Chetan Lamba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144936576 PECOS PAC ID: 9537526132 Enrollment ID: I20230612003118 |
| Provider Name | Soo H Baek |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346498474 PECOS PAC ID: 9234583477 Enrollment ID: I20230921003924 |
| 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 |
| Provider Name | Jose Reyes |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1013910447 PECOS PAC ID: 1759318710 Enrollment ID: I20240725000154 |
| Provider Name | Carissa D Holland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457077760 PECOS PAC ID: 4486187234 Enrollment ID: I20241031002486 |
| Provider Name | Lydia J Bautista |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215671722 PECOS PAC ID: 9436676152 Enrollment ID: I20250506003777 |
| Provider Name | Jennifer a King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447068986 PECOS PAC ID: 5799299004 Enrollment ID: I20250709001806 |
| Provider Name | Miriam L Vielman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649055658 PECOS PAC ID: 1951802412 Enrollment ID: I20250827004062 |
| Provider Name | Rachelle M Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447198932 PECOS PAC ID: 2163991175 Enrollment ID: I20260519004224 |
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 |
Clearview Optometry Corp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1110 E Lerdo Hwy # 200, Shafter, CA 93263 Phone: 661-746-6989 |
Vanguard Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 555 Kern St, Shafter, CA 93263 Phone: 661-459-1030 Fax: 661-459-3535 |