MARTINEZ VAMC (NPI# 1225071756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225071756 |
| Entity Type | Organization |
| Organization Name | MARTINEZ VAMC |
| Other Organization Name | MCCLELLAN VA CBOC |
| Practice Address |
5342 Dudley Blvd Mcclellan Air Force Base Building 88 Mcclellan CA 95652-1012 |
| Mailing Address |
Po Box 94412 Cleveland OH 44101-4412 |
| Practice Telephone | 7023413020 |
| Mailing Telephone | 7023413020 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2017-11-01 |
| Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| McClellan VA CBOC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851943104 | Martinez Vamc | Clinic/Center | 11985 Heritage Oak Pl Ste 100, Auburn, CA 95603-2413 | 2019-07-16 |
| 1073064408 | Martinez Vamc | Clinic/Center | 2860 Howe Rd, Martinez, CA 94553-4000 | 2016-10-20 |
| 1144638958 | Martinez Vamc | Clinic/Center | 101 East Oberlin Road, Yreka, CA 96097-9645 | 2014-07-24 |
| 1447523196 | Martinez Vamc | Clinic/Center | 425 Plumas Blvd, Yuba City, CA 95991-5074 | 2012-02-10 |
| 1598713703 | Martinez Vamc | Department of Veterans Affairs (VA) Pharmacy | 1601 Concord Avenue, Chico, CA 95928-9487 | 2006-05-04 |
| 1972995306 | Martinez Vamc | Clinic/Center | 525 21st St, Oakland, CA 94612-1605 | 2015-02-23 |
| 1033501465 | Martinez Vamc | Clinic/Center | 760 Cypress Ave, Suite 100, Redding, CA 96001-2732 | 2015-02-23 |
| 1124410550 | Martinez Vamc | Clinic/Center | 254 Cohasset Rd, Suite 20, Chico, CA 95926-2290 | 2015-02-23 |
| 1194826685 | Martinez Vamc | General Acute Care Hospital | 150 Muir Rd, Martinez, CA 94553-4668 | 2006-09-26 |
| 1023058609 | Martinez Vamc | Clinic/Center | 2221 Martin Luther King Jr Way, Oakland, CA 94612-1318 | 2006-06-08 |
| Street Address |
5342 DUDLEY BLVD MCCLELLAN AIR FORCE BASE BUILDING 88 |
| City | MCCLELLAN |
| State | CA |
| Zip Code | 95652-1012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235127457 | James Michael Ward | Internal Medicine | 5342 Dudley Blvd, Mcclellan Satellite Clinic, Mcclellan, CA 95652-1012 | 2005-10-11 |
| 1376182121 | Elena Lanin | Registered Nurse | 5342 Dudley Blvd, Mcclellan, CA 95652-1012 | 2019-12-26 |
| 1538702881 | Tara Ann Miskovich | Psychologist | 5342 Dudley Blvd, Mcclellan, CA 95652-1012 | 2019-10-18 |
| 1437622420 | Dominique Talley | Social Worker | 5342 Dudley Blvd, Mcclellan, CA 95652-1012 | 2019-01-02 |
| 1518489780 | Jane Grabowski | Audiologist | 5342 Dudley Blvd, Mcclellan, CA 95652-1012 | 2017-07-10 |
| 1033528963 | Valerie Christian | Nurse Practitioner | 5342 Dudley Blvd, Mcclellan, CA 95652-1012 | 2014-08-05 |
| 1760812275 | Michelle Stephens | Audiologist | 5342 Dudley Blvd, Va Mcclellan Audiology, Mcclellan, CA 95652-1012 | 2013-11-19 |
| 1780950394 | Kathryn Irene Daniels | Internal Medicine | 5342 Dudley Blvd, Mcclellan, CA 95652 | 2012-03-28 |
| 1104196930 | Mae Ruth Doctor | Nurse Practitioner | 5342 Dudley Blvd, Mcclellan, CA 95652-1012 | 2012-01-11 |
| 1225314503 | Glenda Fe Jimenez | Registered Nurse | 5342 Dudley Blvd, Mcclellan, CA 95652-1012 | 2011-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548688955 | Wenxia Han | Registered Nurse | 3401 Beech St, Bldg 949, Mcclellan, CA 95652 | 2014-04-02 |
| 1902231897 | Marisa Salas Silva | Social Worker | 3401 Beech Street, Bldg 949, Mcclellan, CA 95652 | 2013-09-10 |
| 1295070290 | Stephanie Ann Bost | Dietitian, Registered | 3401 Beech St., Mcclellan, CA 95652 | 2012-12-01 |
| 1811276025 | Brian C Choi | Dentist | 5401 Arnold Avenue, Bldg. 88, Sacramento, CA 95652 | 2011-08-05 |
| 1154408391 | California Shock Trauma Air Rescue | Ambulance | 4933 Bailey Loop, Mcclellan, CA 95652 | 2006-11-01 |
| 1083704530 | Gerald Yang | Dentist | 5401 Arnold Avenue, Sacramento, CA 95652 | 2006-10-13 |
| 1104910652 | Ann Marie Mullen | Audiologist | 5342 Dudley Blvd., Sacramento, CA 95652 | 2006-10-02 |
| 1831174556 | Mark A Duckett | Dentist | 4101 Arnold Ave, Va /mcclellan Dental Service, Scramento, CA 95652 | 2005-12-15 |
| 1073596581 | Jane P Addagatla | Internal Medicine | Va Mcclellan Opc, 5342 Dudley Blvd,bldg 98, Mcclellan Park, CA 95652 | 2005-11-29 |
| 1528518321 | Dana Kirkwood Adkins | Social Worker | 3401 Beech Street, Building 949, Room #225, Mcclellan, CA 95652 | 2016-10-05 |
| Find all providers in zip 95652 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396378030 | Long Beach Vamc | Clinic/Center | 1149 W 190th St Ste 100, Gardena, CA 90248-4321 | 2020-02-21 |
| 1841831617 | West Los Angeles Vamc | Clinic/Center | 7 W Foothill Blvd Ste D, Arcadia, CA 91006-2367 | 2019-10-03 |
| 1255972303 | William Loushion Mccollum | Clinic/Center | 831 Gulf Ave, Wilmington, CA 90744-4201 | 2019-09-30 |
| 1851943104 | Martinez Vamc | Clinic/Center | 11985 Heritage Oak Pl Ste 100, Auburn, CA 95603-2413 | 2019-07-16 |
| 1073064408 | Martinez Vamc | Clinic/Center | 2860 Howe Rd, Martinez, CA 94553-4000 | 2016-10-20 |
| 1548651516 | Loma Linda Vamc | Clinic/Center | 1273 W Hobsonway, Blythe, CA 92225-1423 | 2015-02-12 |
| 1538550694 | Long Beach Vamc | Clinic/Center | 888 West Santa Ana Blvd, Suite 150, Santa Ana, CA 92701-4592 | 2015-02-11 |
| 1780089847 | Yin Yang Health Care | Clinic/Center | 538 S Murphy Ave, Sunnyvale, CA 94086-6116 | 2014-10-30 |
| 1144638958 | Martinez Vamc | Clinic/Center | 101 East Oberlin Road, Yreka, CA 96097-9645 | 2014-07-24 |
| 1447523196 | Martinez Vamc | Clinic/Center | 425 Plumas Blvd, Yuba City, CA 95991-5074 | 2012-02-10 |
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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.