PLANNED PARENTHOOD SHASTA PACIFIC (NPI# 1699060830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699060830 |
Entity Type | Organization |
Organization Name | PLANNED PARENTHOOD SHASTA PACIFIC |
Practice Address |
1437 Olympic Drive Cleaklake CA 95422 |
Practice Telephone | 7079952261 |
Practice Fax Number | 7079952816 |
Enumeration Date | 2011-06-16 |
Last Update Date | 2011-06-16 |
Authorized Official Name | ERIN HARR YEE (VICE PRESIDENT CLIENT SERVICES) |
Authorized Official Telephone | 9256760505 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0050X |
Clinic/Center Specialization: Family Planning, Non-Surgical |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306274972 | Planned Parenthood Shasta Pacific | Registered Nurse | 2185 Pacheco St, Concord, CA 94520-2309 | 2013-10-17 |
1730474909 | Planned Parenthood Shasta Pacific | Clinic/Center | 2185 Pacheco St, Concord, CA 94520-2309 | 2011-06-15 |
1962796268 | Planned Parenthood Shasta Pacific | Clinic/Center | 1165 S Dora St, Ukiah, CA 95482-8325 | 2011-06-03 |
Street Address |
1437 OLYMPIC DRIVE |
City | CLEAKLAKE |
State | CA |
Zip Code | 95422 |
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 |
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 |
1154501047 | Jay El Tillman | Counselor | 6885 Old Hwy 53, Clearlake, CA 95422 | 2007-11-07 |
Find all providers in zip 95422 |
Taxonomy Code | 261QF0050X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Family Planning, Non-Surgical |
An entity, facility, or distinct part of a facility, or mobile unit providing non-surgical, family planning/reproductive services including physical examination, laboratory services such as PAP or pregnancy tests; pregnancy, pregnancy prevention/contraceptive, and nutritional counseling, and contraceptives or prescriptions for contraceptives. |
Notes: [7/1/2003: new] |
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1578082400 | County of Santa Clara | Clinic/Center | 2101 Alexian Dr., Vhc At Alexian, San Jose, CA 95116-1901 | 2017-09-12 |
1922528694 | Asian and Pacific Islander Wellness Center, Inc. | Clinic/Center | 1800 Market St Ste 401, San Francisco, CA 94102-6227 | 2017-06-23 |
1972908044 | Community Support Clinic, Inc. | Clinic/Center | 506 S San Pedro St, Suite A, Los Angeles, CA 90013-2102 | 2014-10-30 |
1063836526 | St. John's Well Child and Family Center, Inc. | Clinic/Center | 3628 E Imperial Hwy Ste 301, Lynwood, CA 90262-2646 | 2014-02-04 |
1538592472 | Birth Your Way Birth Center - An International Midwifery Practice | Clinic/Center | 12152 Bryant St, Yucaipa, CA 92399-4478 | 2013-08-14 |
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.