PAUL MURGUIA III (NPI# 1437708450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437708450 |
Entity Type | Individual |
Full Name | PAUL MURGUIA III |
Credential | CAODC, CATC I |
Practice Address |
1120 S Dora St Ukiah CA 95482-6340 |
Mailing Address |
767 Apple Ave Ukiah CA 95482-5830 |
Practice Telephone | 7074722325 |
Mailing Telephone | 7073765401 |
Enumeration Date | 2019-09-11 |
Last Update Date | 2019-09-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
7589 | CA | Behavioral Health & Social Service Providers |
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | SUBSTANCE ABUSE TREATMENT | 7589 | 01 |
CA | OUTPATIENT TREATMENT | 904186 | 01 |
Street Address |
1120 S DORA ST |
City | UKIAH |
State | CA |
Zip Code | 95482-6340 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811005440 | Carol Lynne Kelsey | Nurse Practitioner | 1120 S Dora St, Ukiah, CA 95482-6340 | 2006-08-25 |
1306471230 | Luz Maria Machado Cramer | Counselor | 1120 S Dora St, Ukiah, CA 95482-6340 | 2020-03-11 |
1265073977 | Melinda Joann-holt Driggers | Case Manager/Care Coordinator | 1120 S Dora St, Ukiah, CA 95482-6340 | 2019-10-03 |
1548822851 | Jessica Toste | Licensed Vocational Nurse | 1120 S Dora St, Ukiah, CA 95482-6340 | 2019-07-08 |
1063985398 | Mimi Whittaker | Case Manager/Care Coordinator | 1120 S Dora St, Ukiah, CA 95482-6340 | 2019-01-09 |
1801368527 | Khadananda Bhandari | Case Manager/Care Coordinator | 1120 S Dora St, Ukiah, CA 95482-6340 | 2018-12-19 |
1053899203 | Chiah Jasmine Cassells | Counselor | 1120 S Dora St, Ukiah, CA 95482-6340 | 2018-07-31 |
1285110437 | Natalie Levchenko | Registered Nurse | 1120 S Dora St, Ukiah, CA 95482-6340 | 2018-07-11 |
1093206153 | Sharon Convery | Registered Nurse | 1120 S Dora St, Ukiah, CA 95482-6340 | 2018-05-24 |
1215425277 | Lindsey Maria Termini | Registered Nurse | 1120 S Dora St, Ukiah, CA 95482-6340 | 2018-04-25 |
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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 | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750659694 | Penny Ann Mcgahey | Counselor | 564 S Dora St Ste D, Ukiah, CA 95482-5465 | 2011-12-07 |
1528397221 | Laura Alexander | Counselor | 139 Ford St, Ukiah, CA 95482 | 2009-12-09 |
1265611156 | Clover May Martin | Counselor | 201 Brush St, Ukiah, CA 95482-3424 | 2007-10-29 |
1114128816 | Michael Scott Mccracken | Counselor | 524 Low Gap Rd, Ukiah, CA 95482-3735 | 2007-05-30 |
1366060824 | Louie Vigil | Counselor | 201 Brush St, Ukiah, CA 95482-3424 | 2020-07-10 |
1245851617 | Rheannah Andrea Molina | Counselor | 201 Brush St, Ukiah, CA 95482-3424 | 2020-04-27 |
1568083921 | Tarran Ashley Eddy | Counselor | 201 Brush St, Ukiah, CA 95482-3424 | 2020-04-27 |
1306471230 | Luz Maria Machado Cramer | Counselor | 1120 S Dora St, Ukiah, CA 95482-6340 | 2020-03-11 |
1609359090 | Blake Andrew Shupe | Counselor | 201 Brush St, Ukiah, CA 95482-3424 | 2018-09-11 |
1053899203 | Chiah Jasmine Cassells | Counselor | 1120 S Dora St, Ukiah, CA 95482-6340 | 2018-07-31 |
Find all providers in UKIAH |
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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.