Sally Sample (NPI# 1346336807, PAC ID# 1052403425) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HOSPICE/PALLIATIVE CARE.
| Nation Provider ID (NPI) | 1346336807 |
| PAC ID by PECOS | 1052403425 |
| Professional Enrollment ID | I20070815000769 |
| Full Name | Sally Sample |
| Organization Legal Name | EAST BAY INTEGRATED CARE, INC. |
| Address |
3470 Buskirk Ave Pleasant Hill CA 94523-4316 |
| Phone Number | 9258875678 |
| Gender | F |
| Medical School | HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | HOSPICE/PALLIATIVE CARE |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 6608788435 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050180 | JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 3470 Buskirk Ave, Pleasant Hill, CA 94523-4316 | 9258875678 | EAST BAY INTEGRATED CARE, INC. |
| 1220 Rossmoor Pkwy, Walnut Creek, CA 94595-2501 | 9259391220 | JOHN MUIR PHYSICIAN NETWORK |
| Organization Legal Name | EAST BAY INTEGRATED CARE, INC. |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathleen Marie Fitterer | Nurse Practitioner | East Bay Integrated Care, Inc. | 3470 Buskirk Ave, Pleasant Hill, CA 94523-4316 |
| Meshia R Darling | Nurse Practitioner | East Bay Integrated Care, Inc. | 3470 Buskirk Ave, Pleasant Hill, CA 94523-4316 |
| Janice M Dolan | Nurse Practitioner | East Bay Integrated Care, Inc. | 3470 Buskirk Ave, Pleasant Hill, CA 94523-4316 |
| Street Address |
3470 BUSKIRK AVE |
| City | PLEASANT HILL |
| State | CA |
| Zip | 94523-4316 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathleen Marie Fitterer | Nurse Practitioner | East Bay Integrated Care, Inc. | 3470 Buskirk Ave, Pleasant Hill, CA 94523-4316 |
| Meshia R Darling | Nurse Practitioner | East Bay Integrated Care, Inc. | 3470 Buskirk Ave, Pleasant Hill, CA 94523-4316 |
| Janice M Dolan | Nurse Practitioner | East Bay Integrated Care, Inc. | 3470 Buskirk Ave, Pleasant Hill, CA 94523-4316 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gabriel Lujan | Chiropractic | 620 Contra Costa Blvd, Suite 203, Pleasant Hill, CA 94523-1564 | |
| Casey Lee Strand | Chiropractic | 620 Contra Costa Blvd, Suite 203, Pleasant Hill, CA 94523-1564 | |
| Jon Zachary Stockton | Chiropractic | 620 Contra Costa Blvd, Suite 203, Pleasant Hill, CA 94523-1564 | |
| Denise Marie Britt | Chiropractic | 620 Contra Costa Blvd, Suite 203, Pleasant Hill, CA 94523-1564 | |
| Portia Polner | Psychologist, Clinical | 2255 Morello Ave, Suite 119, Pleasant Hill, CA 94523-1855 | |
| Ruben Kalra | Pain Management | Bay Area Surgical Specialists Inc A Medical Corporation | 2250 Morello Ave, Pleasant Hill, CA 94523-1860 |
| William C Longton | Pain Management | Bay Area Surgical Specialists Inc A Medical Corporation | 2250 Morello Ave, Pleasant Hill, CA 94523-1860 |
| Richard C Shinaman | Anesthesiology | Bay Area Surgical Specialists Inc A Medical Corporation | 2250 Morello Ave, Pleasant Hill, CA 94523-1860 |
| Brooke M Aber | Physician Assistant | Bay Area Surgical Specialists Inc A Medical Corporation | 2250 Morello Ave, Pleasant Hill, CA 94523-1860 |
| Diana Oliveira Urcuyo | Registered Dietitian Or Nutrition Professional | 2245 Morello Ave, Suite B, Pleasant Hill, CA 94523-1884 | |
| Find all physicians in zip 94523 | |||
| City | PLEASANT HILL |
| Zip Code | 94523 |
| Specialty | HOSPICE/PALLIATIVE CARE |
| City + Specialty | PLEASANT HILL + HOSPICE/PALLIATIVE CARE |
Please comment or provide details below to improve the information on Sally Sample.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.