CHW MEDICAL FOUNDATION (NPI# 1740429182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740429182 |
| Entity Type | Organization |
| Organization Name | CHW MEDICAL FOUNDATION |
| Other Organization Name | SEQUOIA PHYSICIANS NETWORK, A SERVICE OF CHW MEDICAL FOUNDATION |
| Practice Address |
1301 Shoreway Rd Suite 100 Belmont CA 94002-4151 |
| Mailing Address |
3400 Data Dr Rancho Cordova CA 95670-7956 |
| Practice Telephone | 6505967027 |
| Practice Fax Number | 6508587113 |
| Mailing Telephone | 9163792840 |
| Mailing Fax Number | 9168591106 |
| Enumeration Date | 2009-02-09 |
| Last Update Date | 2013-02-20 |
| Authorized Official Name | TOM LOWRY (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 9163792833 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHW MEDICAL FOUNDATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Sequoia Physicians Network, a Service of CHW Medical Foundation | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093921009 | Chw Medical Foundation | Clinic/Center | 3066 Freeport Blvd, Sacramento, CA 95818-4349 | 2007-05-15 |
| 1366576308 | Chw Medical Foundation | Clinic/Center | 5709 Marconi Ave Ste A, Carmichael, CA 95608-4472 | 2007-03-14 |
| 1851691042 | Chw Medical Foundation | Clinic/Center | 1321 Cottonwood St, Woodland, CA 95695-5131 | 2010-10-22 |
| 1881994085 | Chw Medical Foundation | Clinic/Center | 515 Fairchild Ct, Woodland, CA 95695-5164 | 2010-10-22 |
| 1942430566 | Chw Medical Foundation | Clinic/Center | 4987 Golden Foothill Pkwy, El Dorado Hills, CA 95762-9636 | 2009-07-16 |
| 1922238542 | Chw Medical Foundation | Clinic/Center | 3427 Robin Ln, Suite 100, Cameron Park, CA 95682-7254 | 2009-07-16 |
| 1508096132 | Chw Medical Foundation | Clinic/Center | 3581 Palmer Dr, Suite 402, Cameron Park, CA 95682-8236 | 2009-07-16 |
| 1881711547 | Chw Medical Foundation | Clinic/Center | 239 W Court St, Woodland, CA 95695-2900 | 2007-03-26 |
| 1386778165 | Chw Medical Foundation | Clinic/Center | 9601 Kiefer Blvd, Sacramento, CA 95827-3818 | 2007-03-15 |
| 1073647020 | Chw Medical Foundation | Clinic/Center | 1792 Tribute Rd, Suite 350, Sacramento, CA 95815-4305 | 2007-03-14 |
| Street Address |
1301 SHOREWAY RD SUITE 100 |
| City | BELMONT |
| State | CA |
| Zip Code | 94002-4151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720009673 | Elizabeth Kocot | Internal Medicine | 1301 Shoreway Rd, Suite 100, Belmont, CA 94002-4151 | 2006-07-23 |
| 1801196605 | Gulpana M Mohammad | Family Medicine | 1301 Shoreway Rd, Suite 100, Belmont, CA 94002 | 2010-10-26 |
| 1336315241 | Elizabeth Soda | Internal Medicine | 1301 Shoreway Rd, Suite 100, Belmont, CA 94002-4151 | 2008-05-01 |
| 1003081357 | Jesse Julian Waggoner | Internal Medicine | 1301 Shoreway Rd, Suite 100, Belmont, CA 94002-4151 | 2008-04-28 |
| 1215108204 | Select Physical Therapy Holdings Inc | Durable Medical Equipment & Medical Supplies | 1301 Shoreway Rd, Number 280, Belmont, CA 94002-4151 | 2008-03-18 |
| 1568668234 | Lynda Ann Mackin | Nurse Practitioner | 1301 Shoreway Rd, Suite 100, Belmont, CA 94002-4151 | 2007-06-21 |
| 1780772376 | Adil K Jadallah | Family Medicine | 1301 Shoreway Rd, Suite 100, Belmont, CA 94002-4151 | 2006-10-10 |
| 1962502872 | Randolph A. Chen | Internal Medicine | 1301 Shoreway Rd, Suite 100, Belmont, CA 94002-4151 | 2006-09-22 |
| 1518970409 | Gary A Greensweig | Family Medicine | 1301 Shoreway Rd, Ste. 100, Belmont, CA 94002-4151 | 2006-08-14 |
| 1174531859 | Dignity Health Medical Foundation | Clinic/Center | 1301 Shoreway Rd, Suite 100, Belmont, CA 94002-4151 | 2006-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740728740 | Simon Hirschl | Pathology | 9 Kittie Lane, Belmont, CA 94002 | 2017-02-09 |
| 1902251028 | Emma Yan Hiu Lee Chou | Occupational Therapist | 2410 Carlmont Dr, Belmont, CA 94002 | 2016-04-26 |
| 1740578087 | The Latino Commisson | Substance Abuse Rehabilitation Facility | 401 Briarfield Way, Belmont, CA 94002 | 2011-07-20 |
| 1053624189 | Pragya Jain | Internal Medicine | 1301 Shoreway Rd., Ste. 100, Belmont, CA 94002 | 2010-07-18 |
| 1194956425 | Lilia Patricia Gallegos | Marriage & Family Therapist | 1 Davis Drive, Belmont, CA 94002 | 2009-08-04 |
| 1407099088 | Dharmesh Patel | Radiology | 513 Seagate Way, Belmont, CA 94002 | 2009-04-13 |
| 1376688044 | Paul M. Takla | Dentist | 2130 Ralston Ave, Suite 1e, Belmont, CA 94002 | 2007-02-21 |
| 1487799987 | Mark Joseph Mcmahon | Physical Therapist | 549 Ralson Avenue, Suite B, Belmont, CA 94002 | 2007-02-21 |
| 1639216112 | Patricia Mary Wieser | Nurse Practitioner | 1541 Harbor Blvd, Belmont, CA 94002 | 2007-01-31 |
| 1063575157 | Peninsula Specialty Care | Dentist | 562 Ralston Ave, Belmont, CA 94002 | 2006-12-19 |
| Find all providers in zip 94002 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| 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.