PEACH TREE HEALTHCARE (NPI# 1831689223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831689223 |
| Entity Type | Organization |
| Organization Name | PEACH TREE HEALTHCARE |
| Other Organization Name | PEACH TREE VISION PARADISE |
| Practice Address |
6585 Clark Rd Ste 360 Paradise CA 95969-3500 |
| Mailing Address |
1114 Yuba St Rm 144 Marysville CA 95901-4838 |
| Practice Telephone | 5307493242 |
| Practice Fax Number | 5307493248 |
| Mailing Telephone | 5307493242 |
| Mailing Fax Number | 5307493248 |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2018-05-11 |
| Authorized Official Name | MR. NAVNEET BAINS (CREDENTIALING ADMIN) |
| Authorized Official Telephone | 5307493242 |
| Authorized Official Credential | CAA |
| Is Organization Subpart | Y |
| Parent Organization Name | PEACH TREE HEALTHCARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
55000248 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 751979 | 05 |
| Other Name | Type Code |
|---|---|
| Peach Tree Vision Paradise | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295213296 | Peach Tree Healthcare | Dentist | 1275 Tharp Rd., Yuba City, CA 95993 | 2018-08-01 |
| 1164886040 | Peach Tree Healthcare | Clinic/Center | 3810 Rosin Ct, Suite 100, Sacramento, CA 95834-1656 | 2016-04-07 |
| 1235157967 | Peach Tree Healthcare | Physician Assistant | 724 5th St, Marysville, CA 95901-5646 | 2006-07-18 |
| 1922598226 | Peach Tree Healthcare | Clinic/Center | 120 Independence Cir, Chico, CA 95973-4925 | 2018-05-14 |
| 1841723327 | Peach Tree Healthcare | Clinic/Center | 1275 Tharp Rd, Yuba City, CA 95993-2645 | 2017-04-11 |
| 1679026884 | Peach Tree Healthcare | Pediatrics | 481 Plumas Blvd, Suite 101, Yuba City, CA 95991-5075 | 2016-07-25 |
| 1952761488 | Peach Tree Healthcare | Family Medicine | 3911 Norwood Ave, Sacramento, CA 95838-3361 | 2016-02-25 |
| 1346619582 | Peach Tree Healthcare | Clinic/Center | 1900 T St, Sacramento, CA 95811-6822 | 2015-09-17 |
| 1619361730 | Peach Tree Healthcare | Nurse Practitioner | 1900 T St, Sacramento, CA 95811-6822 | 2015-03-26 |
| 1184915092 | Peach Tree Healthcare | Social Worker | 1445 Veterans Memorial Cir, Ste B, Yuba City, CA 95993-3011 | 2011-04-26 |
| Street Address |
6585 CLARK RD STE 360 |
| City | PARADISE |
| State | CA |
| Zip Code | 95969-3500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306962147 | Michael Carden | Specialist | 6585 Clark Rd Ste 360, Paradise, CA 95969-3500 | 2007-03-22 |
| 1417382706 | Michael A G Carden Md Inc | Plastic Surgery | 6585 Clark Rd Ste 360, Suite 360, Paradise, CA 95969-3500 | 2013-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699234559 | Skala Chiropractic Inc | Chiropractor | 4413 Sierra Del Sol, Paradise, CA 95969 | 2019-03-19 |
| 1114463924 | Gary R Watts | Obstetrics & Gynecology | 5016 Lago Vista Way, Paradise, CA 95969 | 2017-01-18 |
| 1013367044 | Leslie Allison Bass | Registered Nurse | 1309 Nunneley Road, Paradise, CA 95969 | 2016-06-21 |
| 1457798977 | Lisa Marie Nelson | Counselor | 5910 Clark Road Suite 179, Paradise, CA 95969 | 2013-05-23 |
| 1700121597 | Ann Mary Sullivan | Marriage & Family Therapist | 955 Elliott Road, Paradise, CA 95969 | 2012-12-05 |
| 1255631693 | Paola Maria Mccarthy | Pharmacist | 6020 Clark Rd, Paradise, CA 95969 | 2010-11-02 |
| 1871821678 | Lisa Alison Franco | Occupational Therapist | 1633 Cypress Ln., Lifehouse/cypress, Paradise, CA 95969 | 2009-12-07 |
| 1700017548 | Michael C Reilly | Occupational Therapy Assistant | 1633 Cypress Lane, Paradise, CA 95969 | 2009-07-28 |
| 1992985899 | James D Salomone | Counselor | 7690 East Rd, Redwood Valley, CA 95969 | 2007-11-07 |
| 1548461619 | Paradise Ultrasound | Radiologic Technologist | 5921 Clark Rd, Ste. C, Paradise, CA 95969 | 2007-05-29 |
| Find all providers in zip 95969 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| 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.