| Sutter Coast Community Clinic | |
|
780 E Washington Blvd Suite 202 Crescent City CA 95531-8397 | |
| (707) 464-6715 | |
| (707) 465-0870 |
| Full Name | Sutter Coast Community Clinic |
|---|---|
| Speciality | General Practice |
| Location | 780 E Washington Blvd, Crescent City, California |
| Authorized Official Name and Position | Mitch Hanna (CEO) |
| Authorized Official Contact | 7074648880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sutter Coast Community Clinic 800 E Washington Blvd Crescent City CA 95531-8359 Ph: (707) 464-8511 | Sutter Coast Community Clinic 780 E Washington Blvd Suite 202 Crescent City CA 95531-8397 Ph: (707) 464-6715 |
| NPI Number | 1700960267 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 10/10/2016 |
| Medicare PECOS PAC ID | 9436148111 |
|---|---|
| Medicare Enrollment ID | O20040827000424 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700960267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| Provider Name | Robin Zagone |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1023192960 PECOS PAC ID: 3870565492 Enrollment ID: I20040812000617 |
| Provider Name | Adour Adrouny |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447298955 PECOS PAC ID: 0941264329 Enrollment ID: I20041116000292 |
| Provider Name | Lawrence Milne |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285655399 PECOS PAC ID: 8123082419 Enrollment ID: I20041117000302 |
| Provider Name | Albert a Mcclain |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1811006786 PECOS PAC ID: 8325087257 Enrollment ID: I20050429000300 |
| Provider Name | Claire Andra Putnam |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942388830 PECOS PAC ID: 2567406325 Enrollment ID: I20050614000200 |
| Provider Name | John H Kirk |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922020783 PECOS PAC ID: 0941216196 Enrollment ID: I20060227000225 |
| Provider Name | Guillermo Perez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275557506 PECOS PAC ID: 3678576196 Enrollment ID: I20060822000466 |
| Provider Name | Edward Albert Cefala |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992710131 PECOS PAC ID: 3274530407 Enrollment ID: I20061101000494 |
| Provider Name | May C Hong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811933690 PECOS PAC ID: 4587642657 Enrollment ID: I20080125000210 |
| Provider Name | Sheldon Nmi Meshulam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184720740 PECOS PAC ID: 7719076280 Enrollment ID: I20080520000288 |
| Provider Name | Shirish a Mahajan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1609808856 PECOS PAC ID: 4183783715 Enrollment ID: I20081111000412 |
| Provider Name | Ram Chillar |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1881702645 PECOS PAC ID: 3072673805 Enrollment ID: I20081124000151 |
| Provider Name | Elie Hobeika |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134381536 PECOS PAC ID: 7911043591 Enrollment ID: I20091013000282 |
| Provider Name | Stafford Robert Grady |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003888132 PECOS PAC ID: 3870639255 Enrollment ID: I20091015000480 |
| Provider Name | Monique Nicole Schwartz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952517682 PECOS PAC ID: 1658496369 Enrollment ID: I20100918000175 |
| Provider Name | Monica Romo-contreras |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1821294117 PECOS PAC ID: 5890844906 Enrollment ID: I20101021001312 |
| Provider Name | Francis S Lee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720056781 PECOS PAC ID: 3971496456 Enrollment ID: I20120220000326 |
| Provider Name | Amber Lisa Vos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770841249 PECOS PAC ID: 3870758154 Enrollment ID: I20120712000186 |
| Provider Name | Lynne Ai Bui |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1114169323 PECOS PAC ID: 3577585413 Enrollment ID: I20120727000303 |
| Provider Name | Micah D Berry |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376771980 PECOS PAC ID: 5092956201 Enrollment ID: I20130731000624 |
| Provider Name | Adam M Holleran |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568627602 PECOS PAC ID: 6406175652 Enrollment ID: I20150511000281 |
| Provider Name | Lena Mae Snyder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114933249 PECOS PAC ID: 6204838279 Enrollment ID: I20170501001614 |
| Provider Name | Hamzeh Nasri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770832594 PECOS PAC ID: 4082987326 Enrollment ID: I20170907001875 |
| Provider Name | Matthew J Kolosky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023459211 PECOS PAC ID: 8921368226 Enrollment ID: I20180206001394 |
| Provider Name | Deborah Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740772870 PECOS PAC ID: 3971859802 Enrollment ID: I20180709001125 |
| Provider Name | Karen Grace Chase |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891729406 PECOS PAC ID: 8820991755 Enrollment ID: I20181116000431 |
| Provider Name | Joshua Matson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982862538 PECOS PAC ID: 4486797289 Enrollment ID: I20190827000251 |
| Provider Name | Katherine Sandoval |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790248417 PECOS PAC ID: 4486047156 Enrollment ID: I20220202001632 |
| Provider Name | Ismael Diallo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619472503 PECOS PAC ID: 1456603315 Enrollment ID: I20231020001297 |
| Provider Name | Robert a Jason |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700260015 PECOS PAC ID: 7012253495 Enrollment ID: I20231219001885 |
| Provider Name | Diane Cantrell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588302392 PECOS PAC ID: 1456676873 Enrollment ID: I20240930002101 |
| Provider Name | Tasneem Jafri Rashid |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1205947926 PECOS PAC ID: 1759317357 Enrollment ID: I20250711002823 |
| Provider Name | Juliane Leighton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194731703 PECOS PAC ID: 7315832508 Enrollment ID: I20251201001609 |
| Provider Name | Daniel Alekyan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700467834 PECOS PAC ID: 8729486493 Enrollment ID: I20251201001667 |
| Provider Name | Alexander Leighton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063422608 PECOS PAC ID: 6901791110 Enrollment ID: I20251201002618 |
| Provider Name | Vincent Lee Huntley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831066299 PECOS PAC ID: 0840786521 Enrollment ID: I20251231003486 |
| Provider Name | Jesyka Garlich |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528333192 PECOS PAC ID: 9234393067 Enrollment ID: I20260319002141 |
Redwood Medical Offices Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1240 Marshall St, Crescent City, CA 95531 Phone: 707-465-5566 |
Del Norte Mobile Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 E Washington Blvd Ste 100, Crescent City, CA 95531 Phone: 707-465-6925 |
Viteledoc LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 933 3rd St, Crescent City, CA 95531 Phone: 707-343-8884 |
Sutter Coast Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 785 E. Washington Blvd., Suite 10, Crescent City, CA 95531 Phone: 707-464-8818 Fax: 707-464-8848 |
Mobile Medical Van Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1675 Northcrest Dr, Crescent City, CA 95531 Phone: 707-464-2750 Fax: 707-464-2668 |
Redwood Focused Care Clinics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 286 M St Ste B, Crescent City, CA 95531 Phone: 707-460-1919 |