SUSAN KLIMIST-ZINGO (NPI# 1164500690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164500690 |
| Entity Type | Individual |
| Full Name | SUSAN KLIMIST-ZINGO |
| Credential | PA-C |
| Practice Address |
260 Hospital Dr Suite 209 Ukiah CA 95482-4568 |
| Practice Telephone | 7074638000 |
| Practice Fax Number | 7074621111 |
| Mailing Telephone | 7074638000 |
| Mailing Fax Number | 7074621111 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2014-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 5601001625 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA51368 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
260 HOSPITAL DR SUITE 209 |
| City | UKIAH |
| State | CA |
| Zip Code | 95482-4568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609874445 | Jon Stephen Portnoff | Internal Medicine | 260 Hospital Dr, Suite 207, Ukiah, CA 95482-4533 | 2005-07-13 |
| 1114557345 | Shakuntala Blomquist | Nurse Practitioner | 260 Hospital Dr, Ukiah, CA 95482-4568 | 2020-01-15 |
| 1184175895 | Adventist Health Physicians Network | Pediatrics | 260 Hospital Dr, Suite 204, Ukiah, CA 95482-4568 | 2016-10-18 |
| 1447701156 | Adventist Health Physicians Network | Family Medicine | 260 Hospital Dr, Suite 209, Ukiah, CA 95482-4568 | 2016-10-18 |
| 1285185991 | Adventist Health Physicians Network | Internal Medicine | 260 Hospital Dr, Suite 103, Ukiah, CA 95482-4568 | 2016-10-18 |
| 1124499413 | Lori Katnik | Nurse Practitioner | 260 Hospital Dr, Ukiah, CA 95482-4568 | 2015-10-13 |
| 1053790915 | Adventist Health Physicians Network | Physical Medicine & Rehabilitation | 260 Hospital Dr, Suite 102, Ukiah, CA 95482-4568 | 2015-05-26 |
| 1659764777 | Adventist Health Physicians Network | Orthopaedic Surgery | 260 Hospital Dr, Suite 107, Ukiah, CA 95482-4568 | 2015-03-13 |
| 1609269984 | Adventist Health Physicians Network | Family Medicine | 260 Hospital Dr, Suite 207, Ukiah, CA 95482-4568 | 2015-03-11 |
| 1326431669 | Adventist Health Physicians Network | Urology | 260 Hospital Dr, Suite 201, Ukiah, CA 95482-4568 | 2015-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932726726 | Gloria Gonzalez Campise | Midwife | 205 W. Clay Street, Ukiah, CA 95482 | 2020-06-29 |
| 1083255095 | Mendocino Care Network | Internal Medicine | 1080 N State St, Ukiah, CA 95482 | 2019-10-01 |
| 1801383153 | Costco Wholesale Corporation | Pharmacy | 1275 Airport Park Blvd., Ukiah, CA 95482 | 2018-04-21 |
| 1922528256 | Ian David Winter | Case Manager/Care Coordinator | 1120 S. Dora St, Ukiah, CA 95482 | 2017-06-27 |
| 1568917938 | Rebecca Ann Dragomani | Nurse Practitioner | 260 Hospital Dr Ste 101, Ukiah, CA 95482 | 2016-08-16 |
| 1811362536 | Manzanita Services, Inc. | Community/Behavioral Health | 410 W. Jones St., Ukiah, CA 95482 | 2015-12-07 |
| 1689061061 | Pamela Mathias | Counselor | 367 East Gobbi Street, Suite E, Ukiah, CA 95482 | 2015-04-23 |
| 1275927030 | Jack David Segel | Counselor | 564 Dora St., Ste.d, Ukiah, CA 95482 | 2015-03-19 |
| 1689070211 | Mendocino County Youth Project | Clinic/Center | 347 Plum St, #b, Ukiah, CA 95482 | 2014-11-10 |
| 1346649951 | Ae Ran Ku | Dentist | 1096 South Dora Street, Ukiah, CA 95482 | 2014-08-19 |
| Find all providers in zip 95482 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942379391 | Justin Ebert | Physician Assistant | 333 Laws Ave, Ukiah, CA 95482-6540 | 2006-11-07 |
| 1750450110 | Thomas Feiertag | Physician Assistant | 333 Laws Ave, Ukiah, CA 95482-6540 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089437 | Karine Harutyunyan | Physician Assistant | 500 E Colorado St Ste 101, Glendale, CA 91205-1607 | 2020-10-06 |
| 1437756228 | Kale Burket | Physician Assistant | Bldg 523, S 8th St, El Centro, CA 92243 | 2020-10-05 |
| 1548867666 | Heba Marzouk Al-shoubaki | Physician Assistant | 633 S Pepper St, Anaheim, CA 92802-1459 | 2020-10-01 |
| 1275140550 | Lisa Lynn Passalacqua | Physician Assistant | 431 7th St, Norco, CA 92860-1671 | 2020-09-30 |
| 1144833989 | Trisha Taylor | Physician Assistant | 10399 Tivoli Way, Yucaipa, CA 92399-6017 | 2020-08-30 |
| 1457963944 | Harlan William Monahan | Physician Assistant | 5210 Del Rio Rd, Sacramento, CA 95822-2519 | 2020-08-18 |
| 1275144313 | Sofia Carmen Bustillo | Physician Assistant | 1709 Coral Pl, Seal Beach, CA 90740-5712 | 2020-08-12 |
| 1124638663 | Gayaneh Gharakhani | Physician Assistant | 1323 E Broadway Apt 110, Glendale, CA 91205-4018 | 2020-08-07 |
| 1144830183 | Loc Bao Tran | Physician Assistant | 8937 Emerson Pl, Rosemead, CA 91770-2813 | 2020-08-04 |
| 1558997957 | Sarah Lubinsky | Physician Assistant | 1511 Montana Ave, Santa Monica, CA 90403-1891 | 2020-03-17 |
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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.