MARTINEZ VAMC (NPI# 1588612329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588612329 |
Entity Type | Organization |
Organization Name | MARTINEZ VAMC |
Other Organization Name | MCCLELLAN VA CBOC PHARMACY |
Practice Address |
5342 Dudley Blvd Bldg 98 Mcclellan CA 95652-1012 |
Mailing Address |
Po Box 94412 Cleveland OH 44101-4412 |
Practice Telephone | 7075628202 |
Mailing Telephone | 7023413020 |
Enumeration Date | 2006-05-04 |
Last Update Date | 2020-04-28 |
Authorized Official Name | MS. ERIN POTTER (NPI TEAM MEMBER) |
Authorized Official Telephone | 2023822579 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332100000X | Department of Veterans Affairs (VA) Pharmacy | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | NCPDP# | 0537920 | 01 |
Other Name | Type Code |
---|---|
MCCLELLAN VA CBOC PHARMACY | 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 |
1225071756 | Martinez Vamc | Clinic/Center | 5342 Dudley Blvd, Mcclellan Air Force Base Building 88, Mcclellan, CA 95652-1012 | 2006-06-13 |
Street Address |
5342 DUDLEY BLVD BLDG 98 |
City | MCCLELLAN |
State | CA |
Zip Code | 95652-1012 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891770285 | Sylvia Brouwer Beamesderfer | Internal Medicine | 5342 Dudley Blvd Bldg 98, Mc Clellan Opc, Mcclellan, CA 95652-1012 | 2005-12-08 |
1588053383 | Lisa Glaser | Physical Therapist | 5342 Dudley Blvd Bldg 98, Mcclellan, CA 95652-1012 | 2015-01-16 |
1386058139 | Erick Aponte Guzman | Internal Medicine | 5342 Dudley Blvd Bldg 98, Mcclellan, CA 95652-1012 | 2014-06-19 |
1477839637 | Marie Fitts | Registered Nurse | 5342 Dudley Blvd Bldg 98, Mcclellan, CA 95652-1012 | 2011-11-01 |
1699745612 | Zoraida Soriano | Internal Medicine | 5342 Dudley Blvd Bldg 98, Mcclellan, CA 95652-1012 | 2006-01-23 |
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 | 332100000X |
Grouping | Suppliers |
Classification | Department of Veterans Affairs (VA) Pharmacy |
Department of Veterans Affairs (VA) Pharmacy means any place under VA jurisdiction where drugs are dispensed and Pharmaceutical Care is provided to enrolled Veterans, by licensed pharmacists. The Pharmacy is reviewed by JCAHO, utilizes the VA hospital’s DEA number, and has a designated NCPDP number. VA facility pharmacies include Inpatient (Institutional), Outpatient, Consolidated Mail Outpatient Pharmacies (CMOPs), Research, Addiction Treatment Centers, Long Term Care and Community Based Outpatient Clinics Pharmacies. The VHA Pharmacy Benefits Management - Strategic Healthcare Group has oversight for professional and practice activities of VA Pharmacies. Each pharmacy is under the direct supervision of a U.S. or U.S. territory licensed pharmacist, and has staffing to meet its designated scope of service. |
Notes: Source: Pharmacy Benefits Management – Strategic Healthcare Group, Veterans Health Administration, Department of Veterans Affairs [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396842159 | Mcclellandgmc Va Pharmacy | Department of Veterans Affairs (VA) Pharmacy | 5342 Dudley Blvd, Mcclellan, CA 95652-1012 | 2006-09-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992176192 | Natural Lifestyles LLC. | Department of Veterans Affairs (VA) Pharmacy | 2138 W 109th St, Los Angeles, CA 90047-4609 | 2015-10-13 |
1124078308 | Palo Alto Vamc | Department of Veterans Affairs (VA) Pharmacy | 201 9th Street, Marina, CA 93933-6039 | 2006-05-11 |
1487602025 | Palo Alto Vamc | Department of Veterans Affairs (VA) Pharmacy | 5855 Silver Creek Valley Rd, San Jose, CA 95138-1059 | 2006-05-05 |
1396793428 | West Los Angeles Vamc | Department of Veterans Affairs (VA) Pharmacy | 351 E Temple St, Los Angeles, CA 90012-3328 | 2006-05-04 |
1598713703 | Martinez Vamc | Department of Veterans Affairs (VA) Pharmacy | 1601 Concord Avenue, Chico, CA 95928-9487 | 2006-05-04 |
1164685038 | San Francisco Vamc | Department of Veterans Affairs (VA) Pharmacy | 630 Kings Ct, Ukiah, CA 95482-5003 | 2008-07-09 |
1497948442 | San Francisco Vamc | Department of Veterans Affairs (VA) Pharmacy | 3841 Brickway Blvd, Santa Rosa, CA 95403-8226 | 2007-08-23 |
1689867632 | San Francisco Vamc | Department of Veterans Affairs (VA) Pharmacy | 930 W Harris St, Eureka, CA 95503-3927 | 2007-08-23 |
1528016862 | West Los Angeles Vamc | Department of Veterans Affairs (VA) Pharmacy | 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 | 2006-05-05 |
1235187683 | West Los Angeles Vamc | Department of Veterans Affairs (VA) Pharmacy | 351 E Temple St, Los Angeles, CA 90012-3328 | 2006-05-05 |
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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.