SOLEDAD COMMUNITY HEALTH CARE DISTRICT (NPI# 1003822453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003822453 |
| Entity Type | Organization |
| Organization Name | SOLEDAD COMMUNITY HEALTH CARE DISTRICT |
| Other Organization Name | SOLEDAD MEDICAL CLINIC |
| Practice Address |
600 Main St Soledad CA 93960-2533 |
| Mailing Address |
612 Main St Soledad CA 93960-2533 |
| Practice Telephone | 8316782462 |
| Practice Fax Number | 8316781539 |
| Mailing Telephone | 8316782462 |
| Mailing Fax Number | 8316781539 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2019-02-06 |
| Authorized Official Name | KELLY WITT (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 7607937618 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOLEDAD COMMUNITY HEALTH CARE DISTRICT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
070000327 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RHM53997F | 05 |
| Other Name | Type Code |
|---|---|
| Soledad Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376567834 | Soledad Community Health Care District | Skilled Nursing Facility | 612 Main St, Soledad, CA 93960-2533 | 2006-07-27 |
| Street Address |
600 MAIN ST |
| City | SOLEDAD |
| State | CA |
| Zip Code | 93960-2533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811333883 | Christine Margaret Michaels Benson | Nurse Practitioner | 600 Main St, Soledad, CA 93960-2533 | 2013-05-17 |
| 1598904609 | Julia Faith Snell | Dietitian, Registered | 600 Main St, Soledad, CA 93960-2533 | 2009-02-12 |
| 1336299973 | Susan Ganzhorn | Physician Assistant | 600 Main St, Soledad, CA 93960-2533 | 2007-01-12 |
| 1790844116 | Diana Reiss | Physician Assistant | 600 Main St, Soledad, CA 93960-2533 | 2006-12-08 |
| 1346321197 | Jaime Eliezer Giron | Family Medicine | 600 Main St, Soledad, CA 93960-2533 | 2006-10-18 |
| 1952419202 | Courtney Jeanne Barry | Nurse Practitioner | 600 Main St, Soledad, CA 93960-2533 | 2006-08-28 |
| 1902866072 | Tyler Don Hensel | Family Medicine | 600 Main St, Soledad, CA 93960-2533 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528621091 | Miriam Lorena Rios | Counselor | 2167-h De La Rosa St, Soledad, CA 93960 | 2019-04-19 |
| 1972093169 | Rashelle Jeannette Dadula | Assistant Behavior Analyst | 605 Asilomar Ave., Soledad, CA 93960 | 2018-05-14 |
| 1205326659 | Rebecca L Pilgrim | Nurse Practitioner | Us 101, Soledad, CA 93960 | 2018-05-11 |
| 1932630720 | Joycelyn A Mendoza | Dietitian, Registered | 355 Gabilan St., Soledad, CA 93960 | 2017-03-23 |
| 1912449505 | Christine Kregg | Social Worker | U.S. Highway 101 North, Correctional Training Facility, Soledad, CA 93960 | 2016-11-14 |
| 1356684088 | Kiet Quoc Le | Pharmacist | Hwy 101 N, Soledad, CA 93960 | 2013-04-01 |
| 1063753226 | Matthew Wynn | Psychologist | Highway 101 N, California Correctional Facility Soledad, Soledad, CA 93960 | 2013-03-12 |
| 1326390097 | Raha Yavari | Psychologist | 31625 Us Highway 101, Soledad, CA 93960 | 2012-10-05 |
| 1609005321 | Mitzi Doreen Baladiang Balbona | Family Medicine | Us Hwy 101s, California, CA 93960 | 2009-07-02 |
| 1093977076 | Gbenga Akinyemi | Social Worker | 31625 High Way 101, Salinas Valley Psychiatric Program, Soledad, CA 93960 | 2008-06-30 |
| Find all providers in zip 93960 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1922614197 | Sierra View Local Health Care District | Clinic/Center | 9520 Road 238, Terra Bella, CA 93270 | 2020-09-22 |
| 1124643598 | Valley Healthcare Centers | Clinic/Center | 369 N Church Rd, Earlimart, CA 93219 | 2020-06-11 |
| 1477177210 | Anand Narayan Md Inc | Clinic/Center | 317 W El Monte Way, Dinuba, CA 93618-1557 | 2020-06-06 |
| 1902435894 | Slt Medical Group Inc | Clinic/Center | 2024 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6498 | 2020-04-03 |
| 1881232676 | Madera Community Hospital | Clinic/Center | 121 Belmont Ave., Suite 101, Mendota, CA 93640 | 2019-12-12 |
| 1790331817 | Valley Healthcare Centers | Clinic/Center | 252 N Highway 65, Lindsay, CA 93247-2702 | 2019-08-14 |
| 1093274508 | Adventist Health Clearlake Hospital, Inc | Clinic/Center | 6300 E. Highway 20, Lucerne, CA 95458 | 2019-03-14 |
| 1679038434 | Ridgecrest Regional Hospital | Clinic/Center | 105 E Sydnor Ave, Ridgecrest, CA 93555-5546 | 2019-02-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.