MEDMEK MEDICAL CLINIC, INC. (NPI# 1275815946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275815946 |
| Entity Type | Organization |
| Organization Name | MEDMEK MEDICAL CLINIC, INC. |
| Practice Address |
433 Tuolumne St Suite Vallejo CA 94590-5764 |
| Mailing Address |
Po Box 5133 Hercules CA 94547-5133 |
| Practice Telephone | 5102303817 |
| Mailing Telephone | 5102303817 |
| Enumeration Date | 2011-09-19 |
| Last Update Date | 2011-09-19 |
| Authorized Official Name | AUGUSTINE MEKKAM (SECRETARY) |
| Authorized Official Telephone | 5102303817 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | G77245 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
433 TUOLUMNE ST SUITE |
| City | VALLEJO |
| State | CA |
| Zip Code | 94590-5764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265051445 | Jaspreet Bains | Licensed Vocational Nurse | 508 Alabama Street, Vallejo, CA 94590 | 2020-04-08 |
| 1467097527 | Deneane Hannon | Behavioral Analyst | 238 Georgia St. Ste 102, Vallejo, CA 94590 | 2019-11-13 |
| 1780243196 | Abla Harara Almoraissi | Health Educator | John F. Kennedy Library, 505 Santa Clara St, Vallejo, CA 94590 | 2019-06-10 |
| 1891264461 | Brian Emory Kellogg | Marriage & Family Therapist | 525 Oregon St., Php/iop, Vallejo, CA 94590 | 2018-11-13 |
| 1952801862 | Carica Theresa Saraza Macariola | Specialist/Technologist | 1007 Solano Avenue, Vallejo, CA 94590 | 2018-02-16 |
| 1770007973 | Deborah A Johnson-white | Licensed Vocational Nurse | 908 Tuolumne, Vallejo, CA 94590 | 2017-07-29 |
| 1306378260 | Edgar Diaz | Counselor | 236 Georgia Street Suite 101, Vallejo, CA 94590 | 2017-03-30 |
| 1528440096 | Soren Perry | Counselor | 236 Georgia St., Vallejo, CA 94590 | 2015-06-22 |
| 1518366327 | Kimberly A Holland | Counselor | 631 Tennessee Street Suite 201, Vallejo, CA 94590 | 2014-08-18 |
| 1841605193 | Lawana Lofton | Psychologist | 88 Valle Vista Drive, Unit 6310, Vallejo, CA 94590 | 2014-06-25 |
| Find all providers in zip 94590 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730375841 | Mercedes Yadao Rivera | Internal Medicine | 1167 Porter St, Apt G, Vallejo, CA 94590 | 2007-09-21 |
| 1346454220 | Diljit Bahuleyan Karayil | Internal Medicine | 975 Sereno Drive, Medical Office- 8, Kaiser Permanente Medical Center, Vallejo, CA 94589 | 2007-05-09 |
| 1093837783 | Voltaire S. Velarde Md Inc | Internal Medicine | 646 Tennessee St, Vallejo, CA 94590-4433 | 2007-04-04 |
| 1235244146 | Michael C. Luu | Internal Medicine | 2920 Sonoma Blvd, Suite C, Vallejo, CA 94590-3875 | 2006-08-20 |
| 1194747196 | Howard Leslie Feinberg | Internal Medicine | 1310 Club Dr, Vallejo, CA 94592-1187 | 2006-07-25 |
| 1508844796 | Georgia Carol Allen | Internal Medicine | 365 Tuolumne St, Vallejo, CA 94590-5700 | 2006-01-06 |
| 1689053720 | Nicholas Taylor | Internal Medicine | 300 Hospital Dr, Vallejo, CA 94589 | 2015-05-21 |
| 1518371798 | Eric Feng | Internal Medicine | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2014-06-16 |
| 1841552429 | Jeffrey M Costas | Internal Medicine | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2012-06-11 |
| 1699035550 | Eduardo M Abdala, M.d. Inc | Internal Medicine | 1040 Colusa St, Vallejo, CA 94590 | 2012-05-24 |
| Find all providers in VALLEJO | ||||
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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.