Georgina L Calderon (NPI# 1013159359, PAC ID# 1355579731) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1013159359 |
| PAC ID by PECOS | 1355579731 |
| Professional Enrollment ID | I20140109001043 |
| Full Name | Georgina L Calderon |
| Organization Legal Name | PACIFIC REDWOOD MEDICAL GROUP INC |
| Address |
275 Hospital Dr Ukiah CA 95482-4531 |
| Phone Number | 7074627900 |
| Gender | F |
| Medical School | UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 5496652703 |
| Number of Group Practice Members | 37 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050301 | ADVENTIST HEALTH UKIAH VALLEY |
| 051310 | ADVENTIST HEALTH HOWARD MEMORIAL |
| 050291 | SUTTER SANTA ROSA REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5176 Hill Rd E, Lakeport, CA 95453-6300 | 7072625000 | SAN FRANCISCO EMERGENCY MEDICAL |
| 275 Hospital Dr, Ukiah, CA 95482-4531 | 7074627900 | PACIFIC REDWOOD MEDICAL GROUP INC |
| 1 Marcela Dr, Willits, CA 95490-5769 | 7074596801 | PACIFIC REDWOOD MEDICAL SERVICES |
| Organization Legal Name | PACIFIC REDWOOD MEDICAL GROUP INC |
| Physicians | 38 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Suzanne Hiramatsu | Emergency Medicine | Pacific Redwood Medical Group Inc | 275 Hospital Dr, Ukiah, CA 95482-4531 |
| Jennifer L Graff | Nurse Practitioner | Pacific Redwood Medical Group Inc | 275 Hospital Dr, Ukiah, CA 95482-4531 |
| Erin L Bainbridge | Nurse Practitioner | Pacific Redwood Medical Group Inc | 275 Hospital Dr, Ukiah, CA 95482-4531 |
| Anand J Mehta | Internal Medicine | Pacific Redwood Medical Group Inc | 275 Hospital Dr, Ukiah, CA 95482-4531 |
| Mary K Newkirk | Internal Medicine | Pacific Redwood Medical Group Inc | 275 Hospital Dr, Ukiah, CA 95482-4531 |
| Leslee H Devies | Hospitalist | Pacific Redwood Medical Group Inc | 275 Hospital Dr, Ukiah, CA 95482-4531 |
| Marika Catherine Ennis | Emergency Medicine | Pacific Redwood Medical Group Inc | 275 Hospital Dr, Ukiah, CA 95482-4531 |
| Jennifer L Zernec | Emergency Medicine | Pacific Redwood Medical Group Inc | 275 Hospital Dr, Ukiah, CA 95482-4531 |
| Michael D Hausberger | Emergency Medicine | Pacific Redwood Medical Group Inc | 275 Hospital Dr, Ukiah, CA 95482-4531 |
| Gary W Fausone | Emergency Medicine | Pacific Redwood Medical Group Inc | 275 Hospital Dr, Ukiah, CA 95482-4531 |
| Street Address |
275 HOSPITAL DR |
| City | UKIAH |
| State | CA |
| Zip | 95482-4531 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lori C Schafer | Optometry | Ukiah Adventist Hospital | 275 Hospital Dr, Ukiah, CA 95482-4531 |
| Suzanne Hiramatsu | Emergency Medicine | Pacific Redwood Medical Group Inc | 275 Hospital Dr, Ukiah, CA 95482-4531 |
| Bonnie D Macevoy | Anesthesiology | Northcoast Anesthesia Providers Medical Group | 275 Hospital Dr, Ukiah, CA 95482-4531 |
| David P Debooy | Anesthesiology | 275 Hospital Dr, Ukiah, CA 95482-4531 | |
| Jennifer L Graff | Nurse Practitioner | Pacific Redwood Medical Group Inc | 275 Hospital Dr, Ukiah, CA 95482-4531 |
| Xiaojie Wu | Nurse Practitioner | Ukiah Adventist Hospital | 275 Hospital Dr, Ukiah, CA 95482-4531 |
| Erin L Bainbridge | Nurse Practitioner | Pacific Redwood Medical Group Inc | 275 Hospital Dr, Ukiah, CA 95482-4531 |
| Anand J Mehta | Internal Medicine | Pacific Redwood Medical Group Inc | 275 Hospital Dr, Ukiah, CA 95482-4531 |
| Mary K Newkirk | Internal Medicine | Pacific Redwood Medical Group Inc | 275 Hospital Dr, Ukiah, CA 95482-4531 |
| Earl Outlund | Anesthesiology | 275 Hospital Dr, Ukiah, CA 95482-4531 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Howard Andrew Coren | Family Medicine | Adventist Health Physicians Network | 1050 N State St, Ukiah, CA 95482-3414 |
| Janis Woesner | Nurse Practitioner | Adventist Health Physicians Network | 1050 N State St, Ukiah, CA 95482-3414 |
| Vincent P Valente | Obstetrics/gynecology | Ukiah Valley Primary Care Medical Group, Inc | 1050 N State St, Ukiah, CA 95482-3414 |
| Christine J Miller | Chiropractic | 101 W Church St, Suite 3, Ukiah, CA 95482-3615 | |
| Brenda Flynn Clark | Clinical Social Worker | 601 N State St, Brenda Flynn Clark Psychotherapy, Ukiah, CA 95482-4026 | |
| Laura M Mares | Clinical Social Worker | 359 N Oak St, Ukiah, CA 95482-4302 | |
| Marilyn K Gilbreath | Optometry | Gilbreath and Park Optometry Inc. | 102 Scott St, Ukiah, CA 95482-4316 |
| Sara C Stark | Clinical Psychologist | 406 W Standley St, Ukiah, CA 95482-4348 | |
| Lee Howard Vagt | Chiropractic | 461 N State St, Ukiah, CA 95482-4421 | |
| Robert B Calson | Allergy/immunology | Ukiah Adventist Hospital | 245 Hospital Dr, Ukiah, CA 95482-4531 |
| Find all physicians in zip 95482 | |||
| City | UKIAH |
| Zip Code | 95482 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | UKIAH + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Georgina L Calderon.
| 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.