I'SOT INC (NPI# 1528063153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528063153 |
| Entity Type | Organization |
| Organization Name | I'SOT INC |
| Other Organization Name | CANBY FAMILY PRACTICE CLINIC |
| Practice Address |
670 County Road 83 Canby CA 96015-9722 |
| Practice Telephone | 5302334641 |
| Practice Fax Number | 5302334140 |
| Mailing Telephone | 5302334641 |
| Mailing Fax Number | 5302334140 |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2012-09-17 |
| Authorized Official Name | MRS. GRETA J ELLIOTT (ADMINISTRATOR) |
| Authorized Official Telephone | 5302334641 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
230000116 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE PART B | ZZZ21128Z | 01 |
| CA | RHM03888F | 05 |
| Other Name | Type Code |
|---|---|
| Canby Family Practice Clinic | Doing Business As Name - Organization |
| Street Address |
670 COUNTY ROAD 83 |
| City | CANBY |
| State | CA |
| Zip Code | 96015-9722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376164749 | Last Frontier Healthcare District | Clinic/Center | 670 County Road 83, Canby, CA 96015-9722 | 2020-04-27 |
| 1376909770 | Sara Jeanne Marchessault | Physician Assistant | 670 County Road 83, Canby, CA 96015-0125 | 2016-01-14 |
| 1316327414 | Mickey Cole | Dental Hygienist | 670 County Road 83, Canby, CA 96015 | 2015-06-03 |
| 1316172034 | Joey Chou-yie Chen | Dentist | 670 County Road 83, Canby, CA 96015 | 2009-05-26 |
| 1629242854 | Matthew Sean Edmonds | Family Medicine | 670 County Road 83, Canby, CA 97015 | 2008-04-18 |
| 1225180649 | John Nicholas Bardonner IIi | Dentist | 670 County Road 83, Canby, CA 96015-9722 | 2007-01-17 |
| 1760473706 | Susan Adele Burger | Dental Hygienist | 670 County Road 83, Canby, CA 96015-9722 | 2005-10-31 |
| 1053301689 | Lorna K Boland | Registered Nurse | 670 County Road 83, Canby, CA 96015-9722 | 2005-10-25 |
| 1467442079 | Virginia L Hassler | Nurse Practitioner | 670 County Road 83, Canby, CA 96015-9722 | 2005-10-25 |
| 1841280435 | Raymond P Mandel | Psychologist | 670 County Road 83, Canby, CA 96015-9722 | 2005-10-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326187261 | Lake Health District | Clinic/Center | 670 County Rd 83, Canby, CA 96015 | 2007-02-06 |
| 1508007238 | Wendy Marie Richardson | Physician Assistant | 670 County Rd 83, Canby, CA 96015 | 2009-03-09 |
| 1093990236 | David Saliba | Dentist | 670 County Rd 83, Canby, CA 96015-9702 | 2008-01-07 |
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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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.