Kimberly A Gauntlett (NPI# 1154638740, PAC ID# 2365636750) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1154638740 |
| PAC ID by PECOS | 2365636750 |
| Professional Enrollment ID | I20101029000683 |
| Full Name | Kimberly A Gauntlett |
| Address |
3751 Montgomery Dr Santa Rosa CA 95405-5214 |
| Phone Number | 7075251250 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050174 | SANTA ROSA MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5712 Lolet Way, Sacramento, CA 95835-2405 | 4153172343 | |
| 3751 Montgomery Dr, Santa Rosa, CA 95405-5214 | 7075251250 |
| Street Address |
3751 MONTGOMERY DR |
| City | SANTA ROSA |
| State | CA |
| Zip | 95405-5214 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John P Hurwitz | Internal Medicine | 3751 Montgomery Dr, Santa Rosa, CA 95405-5214 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Larry Marianella | Internal Medicine | 1515 Montgomery Dr, Santa Rosa, CA 95405-4500 | |
| Jean Claude Bassila | Nephrology | 435 Doyle Park Dr, Santa Rosa, CA 95405-4515 | |
| Michael G Carlston | Family Medicine | 427 Doyle Park Dr, Santa Rosa, CA 95405-4515 | |
| Stephen Lee | Nephrology | Santa Rosa Kidney Care PC | 435 Doyle Park Dr, Santa Rosa, CA 95405-4515 |
| Eric Schmidt | Orthopedic Surgery | 525 Doyle Park Dr, Suite 101, Santa Rosa, CA 95405-4516 | |
| Marc E Thorne | Physician Assistant | Eric S Schmidt, Md, Inc | 525 Doyle Park Dr, Santa Rosa, CA 95405-4516 |
| Tomas Vasiliauskas | Cardiovascular Disease (cardiology) | St Joseph Heritage Healthcare | 500 Doyle Park Dr, Santa Rosa, CA 95405-4555 |
| Priscilla T Ngo | Nurse Practitioner | St Joseph Heritage Healthcare | 500 Doyle Park Dr, Suite 303, Santa Rosa, CA 95405-4555 |
| Jaya R Mallidi | Cardiovascular Disease (cardiology) | St Joseph Heritage Healthcare | 500 Doyle Park Dr, Suite G05, Santa Rosa, CA 95405-4555 |
| Marlon C Decastro | Internal Medicine | St Joseph Heritage Healthcare | 500 Doyle Park Dr, Suite 303, Santa Rosa, CA 95405-4555 |
| Find all physicians in zip 95405 | |||
| City | SANTA ROSA |
| Zip Code | 95405 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | SANTA ROSA + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Kimberly A Gauntlett.
| 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.