EASTERN PLUMAS HEALTH CARE (NPI# 1093711608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093711608 |
| Entity Type | Organization |
| Organization Name | EASTERN PLUMAS HEALTH CARE |
| Practice Address |
500 1st Ave Portola CA 96122-9406 |
| Practice Telephone | 5308326500 |
| Practice Fax Number | 5308321105 |
| Mailing Telephone | 5308326500 |
| Mailing Fax Number | 5308321105 |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. JERILEE NELSON (CFO) |
| Authorized Official Telephone | 5308326577 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
051300 | CA | Hospitals |
| N | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
CA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | HSD00566G | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396705067 | Eastern Plumas Health Care | General Acute Care Hospital | 500 1st Ave, Portola, CA 96122-9406 | 2006-03-25 |
| 1952308173 | Eastern Plumas Health Care | General Acute Care Hospital | 500 1st Ave, Portola, CA 96122-9406 | 2005-07-01 |
| 1346247764 | Eastern Plumas Health Care | General Acute Care Hospital | 500 1st Ave, Portola, CA 96122-9406 | 2005-06-30 |
| 1588660310 | Eastern Plumas Health Care | Ambulance | 500 1st Ave, Portola, CA 96122-9406 | 2005-06-27 |
| 1275539116 | Eastern Plumas Health Care | Durable Medical Equipment & Medical Supplies | 500 1st Ave, Portola, CA 96122-9406 | 2005-06-24 |
| Street Address |
500 1ST AVE |
| City | PORTOLA |
| State | CA |
| Zip Code | 96122-9406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982600920 | Eastern Plumas Health Care District | General Acute Care Hospital | 500 1st Ave, Portola, CA 96122-9406 | 2005-06-23 |
| 1578075727 | Patricia Foley | Marriage & Family Therapist | 500 1st Ave, Portola, CA 96122-9406 | 2017-10-27 |
| 1780881490 | Lino A. Dial | Internal Medicine | 500 1st Ave, Portola, CA 96122-9406 | 2007-06-27 |
| 1396705067 | Eastern Plumas Health Care | General Acute Care Hospital | 500 1st Ave, Portola, CA 96122-9406 | 2006-03-25 |
| 1215996699 | Lovsho Phen | Internal Medicine | 500 1st Ave, Portola, CA 96122-9406 | 2006-03-22 |
| 1760467443 | Charles G. Cox | Internal Medicine | 500 1st Ave, Portola, CA 96122-9406 | 2005-12-14 |
| 1316945249 | Paul Swanson | Emergency Medicine | 500 1st Ave, Portola, CA 96122-9406 | 2005-07-13 |
| 1437157914 | Kenneth Robinson | Emergency Medicine | 500 1st Ave, Portola, CA 96122-9406 | 2005-07-08 |
| 1285632729 | Jeffrey Davis | Emergency Medicine | 500 1st Ave, Portola, CA 96122-9406 | 2005-07-08 |
| 1811994569 | Mark Boettger | Emergency Medicine | 500 1st Ave, Portola, CA 96122-9406 | 2005-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891282810 | County of Plumas | Clinic/Center | 280 W. Sierra Street, Portola, CA 96122 | 2018-04-16 |
| 1033262548 | Sands Travelers Pt, Inc. | Specialist | 72795 S Delleker, Portola, CA 96122 | 2007-01-19 |
| 1326535352 | County of Plumas | Clinic/Center | 372 Main Street, Chester, CA 96122 | 2018-04-16 |
| 1467617332 | Richard D Hungerford | Chiropractor | 76466 Meadow Way, Portola, CA 96122-5100 | 2008-07-21 |
| 1114079035 | Richard Gepford | Specialist | 73795 S Delleker Rd, Portola, CA 96122-6402 | 2007-01-18 |
| 1891997037 | Jamie P Willmore | Physical Therapist | 73795 S Delleker Rd, Portola, CA 96122-6402 | 2007-06-01 |
| 1750416186 | Jeanne Kessler | Specialist | 73795 S Delleker Rd, Portola, CA 96122-6402 | 2007-02-23 |
| 1376785121 | Michael Scott Trenner | Respiratory Therapist, Registered | 545 Fourth St, Portola, CA 96122-7601 | 2009-03-25 |
| 1962688572 | Jeanne M. Harper | Occupational Therapist | 7332 Lake Davis Rd, Portola, CA 96122-8012 | 2008-01-14 |
| 1750481594 | Mario G. Garibotti | Dentist | 145 N Pine St, Portola, CA 96122-8415 | 2006-09-22 |
| Find all providers in zip 96122 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982600920 | Eastern Plumas Health Care District | General Acute Care Hospital | 500 1st Ave, Portola, CA 96122-9406 | 2005-06-23 |
| 1952308173 | Eastern Plumas Health Care | General Acute Care Hospital | 500 1st Ave, Portola, CA 96122-9406 | 2005-07-01 |
| 1346247764 | Eastern Plumas Health Care | General Acute Care Hospital | 500 1st Ave, Portola, CA 96122-9406 | 2005-06-30 |
| 1326044140 | Eastern Plumas Health Care District | General Acute Care Hospital | 500 1st Ave, Portola, CA 96122-9406 | 2005-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407208713 | Moheb Youssef,m.d.,inc | General Acute Care Hospital | 5730 Glen Oaks Dr, La Verne, CA 91750-1713 | 2016-07-11 |
| 1659720373 | Pavel S. Volkov, M.d. Inc. | General Acute Care Hospital | 2393 E Strathmore Pl, Fresno, CA 93730-9717 | 2016-06-03 |
| 1841647575 | Ma Corazon Sabado Domine-flores | General Acute Care Hospital | 13884 Euclid St Apt B01, Garden Grove, CA 92843-3401 | 2016-05-23 |
| 1215305404 | Karen Samartan | General Acute Care Hospital | 6361 Varsity Dr, Huntington Beach, CA 92647-6544 | 2015-09-04 |
| 1427486802 | Lake Arrowhead Physical Therapy | General Acute Care Hospital | 29099 Hospital Rd Suite 106, Lake Arrowhead, CA 92352-0070 | 2013-10-23 |
| 1841626587 | Adventist Health Clearlake Hospital, Inc | General Acute Care Hospital | 9430 Lake St, Lower Lake, CA 95457-8600 | 2013-09-25 |
| 1982948030 | Kern Medical Center | General Acute Care Hospital | 1420 H Street, Bakersfield, CA 93305 | 2012-11-15 |
| 1881960698 | Lisa M Bach Bohler | General Acute Care Hospital | 2202 N Magnolia Rd, Palm Springs, CA 92262-3652 | 2012-03-26 |
| 1750680914 | Cedars-sinai Medical Center | General Acute Care Hospital | 1650 Manning Ave, Los Angeles, CA 90024-5810 | 2011-03-26 |
| 1962705772 | Needles Hospital, Inc | General Acute Care Hospital | 1916 Desoto St, Needles, CA 92363-3023 | 2010-12-16 |
| 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.