PLANNED PARENTHOOD SHASTA PACIFIC (NPI# 1962796268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962796268 |
| Entity Type | Organization |
| Organization Name | PLANNED PARENTHOOD SHASTA PACIFIC |
| Practice Address |
1165 S Dora St Ukiah CA 95482-8325 |
| Practice Telephone | 7074624303 |
| Practice Fax Number | 7074624490 |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2011-06-03 |
| Authorized Official Name | ERIN HARR YEE (VICE PRESIDEN CENTER 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 |
|---|---|---|---|---|
| 1699060830 | Planned Parenthood Shasta Pacific | Clinic/Center | 1437 Olympic Drive, Cleaklake, CA 95422 | 2011-06-16 |
| 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 |
| Street Address |
1165 S DORA ST |
| City | UKIAH |
| State | CA |
| Zip Code | 95482-8325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487655882 | Mark A Bisignani | Radiology | 1165 S Dora St, Ukiah, CA 95482-8325 | 2005-08-09 |
| 1801322268 | Michael Weil | Specialist | 1165 S Dora St, Ukiah, CA 95482-8325 | 2017-05-04 |
| 1568913804 | Adventist Health Physicians Network | Family Medicine | 1165 S Dora St, Suite B-1, Ukiah, CA 95482-8325 | 2016-10-21 |
| 1326431602 | Adventist Health Physicians Network | Otolaryngology | 1165 S Dora St, Suite C-2, Ukiah, CA 95482-8325 | 2015-03-11 |
| 1427301019 | Gary Wyatt Andrus | Audiologist-Hearing Aid Fitter | 1165 S Dora St, Ste B2, Ukiah, CA 95482-8325 | 2012-10-19 |
| 1194085324 | Qi Zhang | Otolaryngology | 1165 S Dora St, C-2, Ukiah, CA 95482-8325 | 2012-05-22 |
| 1780754374 | Ukiah Adventist Hosptial | Clinic/Center | 1165 S Dora St, Suite B-1, Ukiah, CA 95482-8325 | 2006-11-09 |
| 1861562456 | Ukiah Adventist Hosptial | Clinic/Center | 1165 S Dora St, Suite E-2, Ukiah, CA 95482-8325 | 2006-11-09 |
| 1215006143 | Aldis Baltins | Orthopaedic Surgery | 1165 S Dora St, Suite C1, Ukiah, CA 95482 | 2006-11-07 |
| 1114007093 | Thomas Eugene Kilkenny Jr. | Orthopaedic Surgery | 1165 S Dora St, Suite C1, Ukiah, CA 95482-8325 | 2006-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932726726 | Gloria Gonzalez Campise | Midwife | 205 W. Clay Street, Ukiah, CA 95482 | 2020-06-29 |
| 1083255095 | Mendocino Care Network | Internal Medicine | 1080 N State St, Ukiah, CA 95482 | 2019-10-01 |
| 1801383153 | Costco Wholesale Corporation | Pharmacy | 1275 Airport Park Blvd., Ukiah, CA 95482 | 2018-04-21 |
| 1922528256 | Ian David Winter | Case Manager/Care Coordinator | 1120 S. Dora St, Ukiah, CA 95482 | 2017-06-27 |
| 1568917938 | Rebecca Ann Dragomani | Nurse Practitioner | 260 Hospital Dr Ste 101, Ukiah, CA 95482 | 2016-08-16 |
| 1811362536 | Manzanita Services, Inc. | Community/Behavioral Health | 410 W. Jones St., Ukiah, CA 95482 | 2015-12-07 |
| 1689061061 | Pamela Mathias | Counselor | 367 East Gobbi Street, Suite E, Ukiah, CA 95482 | 2015-04-23 |
| 1275927030 | Jack David Segel | Counselor | 564 Dora St., Ste.d, Ukiah, CA 95482 | 2015-03-19 |
| 1689070211 | Mendocino County Youth Project | Clinic/Center | 347 Plum St, #b, Ukiah, CA 95482 | 2014-11-10 |
| 1346649951 | Ae Ran Ku | Dentist | 1096 South Dora Street, Ukiah, CA 95482 | 2014-08-19 |
| Find all providers in zip 95482 | ||||
| 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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| 1801399860 | Northeast Valley Health Corporation | Clinic/Center | 12759 Van Nuys Blvd, Pacoima, CA 91331-1627 | 2018-03-15 |
| 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 |
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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.