SENIOR CARE CLINIC HOUSE CALLS (NPI# 1821409178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821409178 |
| Entity Type | Organization |
| Organization Name | SENIOR CARE CLINIC HOUSE CALLS |
| Practice Address |
89 Lincoln Blvd Suite 100 Lincoln CA 95648-6315 |
| Practice Telephone | 9165431593 |
| Mailing Telephone | 9165431593 |
| Mailing Fax Number | 8774667829 |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2020-06-21 |
| Authorized Official Name | RON BILLANO ORDONA (CLINICIAN TEAM LEAD) |
| Authorized Official Telephone | 9165431593 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
FNP543348 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 208D00000X | General Practice | FNP543348 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
89 LINCOLN BLVD SUITE 100 |
| City | LINCOLN |
| State | CA |
| Zip Code | 95648-6315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699940379 | Ravi K. Chinthakindi | Internal Medicine | 89 Lincoln Blvd, Lincoln, CA 95648-6315 | 2008-04-24 |
| 1457964504 | Marichu Garcia David | Nurse Practitioner | 89 Lincoln Blvd, Lincoln, CA 95648-6315 | 2020-08-28 |
| 1588031157 | Lincoln Medical Practice Inc | Clinic/Center | 89 Lincoln Blvd, Lincoln, CA 95648-6315 | 2015-08-29 |
| 1184050171 | Ron Billano Ordona | Nurse Practitioner | 89 Lincoln Blvd, Suite 100, Lincoln, CA 95648-6315 | 2013-09-23 |
| 1093079782 | Sarala Ghanapuram | Internal Medicine | 89 Lincoln Blvd, Lincoln, CA 95648-6315 | 2012-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770125460 | Mary Anne Leavell | Technician | 2010 Hwy. 193, Lincoln, CA 95648 | 2019-10-14 |
| 1184144487 | Nicolas Sean Losenicky | Non-emergency Medical Transport (VAN) | 818 Equinox Loop, Lincoln, CA 95648 | 2017-06-27 |
| 1437587946 | Sakura Moua | Pharmacist | 950 Groveland Lane, Target Pharmacy, Lincoln, CA 95648 | 2013-10-18 |
| 1154698132 | Donald R Myers | Pharmacist | 405 South Highway 65, Lincoln, CA 95648 | 2011-11-19 |
| 1568757110 | Bryan Lee | Dentist | 1510 Del Webb Blvd Ste B106, Lincoln, CA 95648 | 2011-06-11 |
| 1881901437 | Irene Bailon Hermo | Dentist | 831 Sterling Parkway Suite 130, Lincoln, CA 95648 | 2010-09-02 |
| 1851424501 | Maria Eloisa B Espiritu | Dentist | 2295 Fieldstone Drive, Suite 240, Lincoln, CA 95648 | 2007-03-13 |
| 1184752966 | Eireann Elizabeth Smith | Marriage & Family Therapist | 110 Gateway Oaks Drive, Suite 210, Lincoln, CA 95648 | 2007-03-01 |
| 1407982697 | Lincoln Internal Medicine, A Medical Corp. | Internal Medicine | 801 Sterling Parkway #120, Suite D, Lincoln, CA 95648 | 2007-02-24 |
| 1073656518 | Paul Ernest Denzler | Dentist | 588 First St., Lincoln, CA 95648 | 2007-02-15 |
| Find all providers in zip 95648 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194202358 | Lmmc Lincoln, LLC | General Practice | 300 N 44th St Ste 102, Lincoln, NE 68503-3415 | 2018-07-20 |
| 1356605117 | Laura Marie Peterson | General Practice | 8330 Cheney Ridge Rd Apt 439, Lincoln, NE 68516-3820 | 2012-06-26 |
| 1033230743 | Roger E Cox | General Practice | 1814 Grand Pheasant Ln, Lincoln, CA 95648-7700 | 2007-04-02 |
| 1205832029 | Anchor Medical Associates | General Practice | 1 Commerce St Ste 100, Lincoln, RI 02865-1186 | 2005-06-27 |
| 1447712393 | Delia Marie Gilbertsen | General Practice | 3220 W Van Dorn St, Lincoln, NE 68522-9278 | 2019-04-01 |
| 1467955641 | Ferguson Life Health Centers of Nebraska | General Practice | 4747 Pioneers Blvd Ste 600, Lincoln, NE 68506-5332 | 2018-03-14 |
| 1003044660 | Cheney Ridge Family Medical Clinic, PC | General Practice | 3540 Village Dr, Suite 100, Lincoln, NE 68516-4706 | 2009-06-22 |
| 1235316282 | Chiropractic Neurology & Sports Rehab, LLC | General Practice | 6200 S 58th St Ste A, Lincoln, NE 68516-6406 | 2008-01-22 |
| 1376611616 | Gerald William Wilkins | General Practice | 15th & U Streets, University Health Center, Lincoln, NE 68588-0618 | 2006-12-04 |
| 1053403931 | Nancy J Ingham | General Practice | 3910 Village Dr, Lincoln, NE 68516 | 2006-09-29 |
| Find all providers in LINCOLN | ||||
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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.