AGATA ANNA CHALFIN (NPI# 1639533573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639533573 |
| Entity Type | Individual |
| Full Name | AGATA ANNA CHALFIN |
| Credential | FNP |
| Practice Address |
3750 Rohnerville Road Fortuna CA 95540 |
| Mailing Address |
670 9th St Ste 203 Arcata CA 95521-6249 |
| Practice Telephone | 7077256101 |
| Practice Fax Number | 7077252978 |
| Mailing Telephone | 7078268633 |
| Mailing Fax Number | 7078268638 |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2018-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 340446 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95009471 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3306 Renner Dr, Fortuna, CA 955403120 | 7077256101 | 7077252978 |
| Street Address |
3750 ROHNERVILLE ROAD |
| City | FORTUNA |
| State | CA |
| Zip Code | 95540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942422688 | Stephanie S Dittmer | Family Medicine | 3750 Rohnerville Road, Fortuna, CA 95540 | 2007-05-03 |
| 1841854395 | Patricia Dillon | Registered Nurse | 3750 Rohnerville Road, Fortuna, CA 95540 | 2019-04-30 |
| 1649735671 | Colleen Sanders Alford | Registered Nurse | 3750 Rohnerville Road, Fortuna, CA 95540 | 2019-02-04 |
| 1427520550 | Danielle Leighann Cole | Nurse Practitioner | 3750 Rohnerville Road, Fortuna, CA 95540 | 2018-12-31 |
| 1538630876 | Natasha L. Zabinski | Registered Nurse | 3750 Rohnerville Road, Fortuna, CA 95540 | 2018-12-16 |
| 1669909354 | James Marc Younan | Dentist | 3750 Rohnerville Road, Fortuna, CA 95540 | 2017-05-12 |
| 1003343708 | Arlene Teana Zakia Moore Younan | Dentist | 3750 Rohnerville Road, Fortuna, CA 95540 | 2017-05-12 |
| 1518368331 | Andrew Marcus Delgado | Social Worker | 3750 Rohnerville Road, Fortuna, CA 95540 | 2014-09-11 |
| 1306252051 | Open Door Community Health Centers | Obstetrics & Gynecology | 3750 Rohnerville Road, Fortuna, CA 95540 | 2014-07-02 |
| 1407261001 | Jacqueline Proudfoot | Family Medicine | 3750 Rohnerville Road, Fortuna, CA 95540 | 2014-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234787 | Remi Vista, Inc. | Community/Behavioral Health | 3000 Newburg, Fortuna, CA 95540 | 2020-01-21 |
| 1144867474 | Paula-marie Schneider | Registered Nurse | 3750 Rohnerville Rd., Fortuna, CA 95540 | 2019-12-05 |
| 1609265537 | Nancy Stinson Lollich | Physical Therapy Assistant | 2321 Newburg Road, Fortuna Rehabilitation and Wellness, Fortuna, CA 95540 | 2015-01-15 |
| 1730438151 | Heber House Inc. Dba Dermatology Center | Dermatology | 2404 Newburg Rd., Fortuna, CA 95540 | 2012-08-30 |
| 1104173418 | Michelle Leigh Hoopes | Physician Assistant | 3304 Renner Dr Suite B, Fortuna, CA 95540 | 2012-08-07 |
| 1205181526 | Constance Mitchell | Registered Nurse | Redwood Pediatrics, 3305 Renner Dr, Fortuna, CA 95540 | 2012-07-24 |
| 1730457177 | Joy Nadine Frasier | Counselor | 220 Wilson Ln., Fortuna, CA 95540 | 2011-12-13 |
| 1063791713 | Gardenside Eldercare, LLC | Residential Treatment Facility, Physical Disabilities | 529 9th Street, Fortuna, CA 95540 | 2011-08-12 |
| 1093025173 | Sheri A Jewett | Massage Therapist | 2655 Virginia Court, Fortuna, CA 95540 | 2010-10-07 |
| 1134371339 | Mariana Van Der Merwe | Pharmacist | 725 South Boulevard, Rite Aid Pharmacy, Fortuna, CA 95540 | 2008-10-21 |
| Find all providers in zip 95540 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427520550 | Danielle Leighann Cole | Nurse Practitioner | 3750 Rohnerville Road, Fortuna, CA 95540 | 2018-12-31 |
| 1083902688 | Sandra Yvonne Lee | Nurse Practitioner | 3750 Rohnerville Road, Fortuna, CA 95540 | 2011-07-16 |
| 1336393776 | Lori Ann Cutler | Nurse Practitioner | 3304 Renner Dr, Fortuna, CA 95540-7102 | 2008-11-12 |
| 1902810252 | Elaine K Bettiga | Nurse Practitioner | 3304 Renner Dr, Fortuna, CA 95540-7102 | 2006-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003640 | Samira Kadri | Nurse Practitioner | 431 S Burnside Ave Apt 3g, Los Angeles, CA 90036-5343 | 2020-11-08 |
| 1801497706 | Ana Maria Cajigas De Jesus | Nurse Practitioner | 313 S Velva Pl, Anaheim, CA 92804-2647 | 2020-11-06 |
| 1609477421 | Taylor Mcknight | Nurse Practitioner | 5073 Oxford Dr, Cypress, CA 90630-3653 | 2020-11-06 |
| 1619578465 | Roslyn Dykes-barrow | Nurse Practitioner | 17631 Mulberry Dr, Carson, CA 90746-7403 | 2020-11-06 |
| 1861093601 | Philana P Mcdonald | Nurse Practitioner | 183 Stonebridge Ln, Paso Robles, CA 93446-1926 | 2020-11-06 |
| 1386245264 | Annie Parikh | Nurse Practitioner | 11675 Lambert Ave, El Monte, CA 91732-1955 | 2020-11-05 |
| 1073114096 | Blanca De Jesus Serrano | Nurse Practitioner | 18144 Outer Hwy 18 Ste 200, Apple Valley, CA 92307-2212 | 2020-11-05 |
| 1578164166 | Aimon Sangwanpanich | Nurse Practitioner | 8520 Shirley Ave, Northridge, CA 91324-4149 | 2020-11-02 |
| 1043810757 | Casie Lee Mcguire | Nurse Practitioner | 1826 Rainbow Terrace Ln, Montebello, CA 90640-1953 | 2020-10-30 |
| 1295335099 | Jail Lopez | Nurse Practitioner | 3171 Lynwood Rd, Lynwood, CA 90262-4118 | 2020-10-29 |
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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.