SAN FRANCISCO VAMC (NPI# 1689976094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689976094 |
| Entity Type | Organization |
| Organization Name | SAN FRANCISCO VAMC |
| Other Organization Name | CLEARLAKE VA CBOC |
| Practice Address |
15145 Lakeshore Dr Clearlake CA 95422-8106 |
| Mailing Address |
Po Box 94417 Cleveland OH 44101-4417 |
| Practice Telephone | 7023413020 |
| Mailing Telephone | 7023413020 |
| Enumeration Date | 2010-11-18 |
| Last Update Date | 2017-11-01 |
| Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Clearlake VA CBOC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508805409 | San Francisco Vamc | Clinic/Center | 630 Kings Ct, Ukiah, CA 95482-5003 | 2006-06-06 |
| 1669425013 | San Francisco Vamc | Clinic/Center | 930 W Harris St, Eureka, CA 95503-3927 | 2006-05-18 |
| 1538119250 | San Francisco Vamc | Clinic/Center | 401 3rd St, San Francisco, CA 94107-1214 | 2006-05-11 |
| 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 |
| 1033262373 | San Francisco Vamc | Clinic/Center | 1001 Sneath Ln, Suite 300, San Bruno, CA 94066-2349 | 2007-01-19 |
| 1366480469 | San Francisco Vamc | Clinic/Center | 3841 Brickway Blvd, Santa Rosa, CA 95403-8226 | 2006-06-02 |
| 1790735231 | San Francisco Vamc | General Acute Care Hospital | 4150 Clement St, San Francisco, CA 94121-1545 | 2006-05-12 |
| 1134187693 | San Francisco Vamc | Department of Veterans Affairs (VA) Pharmacy | 4150 Clement St, San Francisco, CA 94121-1545 | 2006-05-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SAN FRANCISCO VAMC | 4150 Clement St Bldg 6 Rm 205, San Francisco, CA 94121-1563 |
| Street Address |
15145 LAKESHORE DR |
| City | CLEARLAKE |
| State | CA |
| Zip Code | 95422-8106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871709428 | Barbara J Harrold | Counselor | 15145 Lakeshore Dr, Clearlake, CA 95422-8106 | 2007-05-14 |
| 1164707147 | Scott E Harris | Registered Nurse | 15145 Lakeshore Dr, Clearlake, CA 95422-8106 | 2011-10-21 |
| 1275734139 | Linda Inez Morris | Marriage & Family Therapist | 15145 Lakeshore Dr, Clearlake, CA 95422-8106 | 2007-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831729201 | Richard Charles Hammond | Counselor | 7000 B South Center Drive, Clearlake, CA 95422 | 2020-01-24 |
| 1609416437 | Junirose Thom | Behavioral Analyst | 4456 Manzanita Avenue Suite 2, Clearlake, CA 95422 | 2020-01-09 |
| 1649781360 | Lake County Office of Education | Local Education Agency (LEA) | 3350 Acacia St, Clearlake, CA 95422 | 2017-10-20 |
| 1083091326 | Noelle Menesini | Physician Assistant | 15230 Lake Shore Drive, Clearlake, CA 95422 | 2015-05-06 |
| 1861820979 | Lake County Office of Education | Local Education Agency (LEA) | 6945 Old Highway 53, Clearlake, CA 95422 | 2013-10-29 |
| 1124469838 | Hassan Sheikh Moghaddas | Surgery | 15332 Lakeshore Dr Ste 101, Clearlake, CA 95422 | 2013-07-10 |
| 1366710279 | Nancy Bylund | Licensed Psychiatric Technician | 7000b South Center Drive, Clearlake, CA 95422 | 2011-12-06 |
| 1699060830 | Planned Parenthood Shasta Pacific | Clinic/Center | 1437 Olympic Drive, Cleaklake, CA 95422 | 2011-06-16 |
| 1164655247 | Hector Lara | Counselor | 14130 Lakeshore Dr., Clearlake, CA 95422 | 2009-08-24 |
| 1518197607 | Vishal V Desai | Pharmacist | 15025, Olympic Drive, Clearlake, CA 95422 | 2009-07-23 |
| Find all providers in zip 95422 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396378030 | Long Beach Vamc | Clinic/Center | 1149 W 190th St Ste 100, Gardena, CA 90248-4321 | 2020-02-21 |
| 1841831617 | West Los Angeles Vamc | Clinic/Center | 7 W Foothill Blvd Ste D, Arcadia, CA 91006-2367 | 2019-10-03 |
| 1255972303 | William Loushion Mccollum | Clinic/Center | 831 Gulf Ave, Wilmington, CA 90744-4201 | 2019-09-30 |
| 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 |
| 1548651516 | Loma Linda Vamc | Clinic/Center | 1273 W Hobsonway, Blythe, CA 92225-1423 | 2015-02-12 |
| 1538550694 | Long Beach Vamc | Clinic/Center | 888 West Santa Ana Blvd, Suite 150, Santa Ana, CA 92701-4592 | 2015-02-11 |
| 1780089847 | Yin Yang Health Care | Clinic/Center | 538 S Murphy Ave, Sunnyvale, CA 94086-6116 | 2014-10-30 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.