Gagan D Mall (NPI# 1083714919, PAC ID# 3274539531) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1083714919 |
| PAC ID by PECOS | 3274539531 |
| Professional Enrollment ID | I20160115002332 |
| Full Name | Gagan D Mall |
| Organization Legal Name | SONOMA VALLEY COMMUNITY HEALTH CENTER |
| Address |
19270 Hwy 12 Sonoma CA 95476-5414 |
| Phone Number | 7079396070 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1996 |
| Primary Specialty | PSYCHIATRY |
| Secondary Specialties | ADDICTION MEDICINE, GERIATRIC PSYCHIATRY |
| Group Practice PAC ID | 6800708686 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050009 | QUEEN OF THE VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2100 Napa Vallejo Hwy, Napa, CA 94558-6234 | 9166518811 | DEPARTMENT OF STATE HOSPITALS |
| 19270 Hwy 12, Sonoma, CA 95476-5414 | 7079396070 | SONOMA VALLEY COMMUNITY HEALTH CENTER |
| Organization Legal Name | SONOMA VALLEY COMMUNITY HEALTH CENTER |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin C Akar | General Practice | Sonoma Valley Community Health Center | 19270 Sonoma Hwy 12, Sonoma, CA 95476 |
| Joyce E Giammattei | Registered Dietitian Or Nutrition Professional | Sonoma Valley Community Health Center | 19270 Hwy 12, Sonoma, CA 95476-5414 |
| Stanley D Levine | Obstetrics/gynecology | Sonoma Valley Community Health Center | 19270 Hwy 12, Sonoma, CA 95476-5414 |
| Andrew John Sawicki | Podiatry | Sonoma Valley Community Health Center | 19270 Hwy 12, Sonoma, CA 95476-5414 |
| Michele D Reynolds | Family Medicine | Sonoma Valley Community Health Center | 19270 Hwy 12, Sonoma, CA 95476-5414 |
| Carol A Ahern | Family Medicine | Sonoma Valley Community Health Center | 19270 Hwy 12, Sonoma, CA 95476-5414 |
| Ajeet S Sidhu | Family Medicine | Sonoma Valley Community Health Center | 19270 Hwy 12, Sonoma, CA 95476-5414 |
| Yen Trang Vo | Family Practice | Sonoma Valley Community Health Center | 19270 Sonoma Hwy 12, Sonoma, CA 95476 |
| Street Address |
19270 HWY 12 |
| City | SONOMA |
| State | CA |
| Zip | 95476-5414 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joyce E Giammattei | Registered Dietitian Or Nutrition Professional | Sonoma Valley Community Health Center | 19270 Hwy 12, Sonoma, CA 95476-5414 |
| Stanley D Levine | Obstetrics/gynecology | Sonoma Valley Community Health Center | 19270 Hwy 12, Sonoma, CA 95476-5414 |
| Andrew John Sawicki | Podiatry | Sonoma Valley Community Health Center | 19270 Hwy 12, Sonoma, CA 95476-5414 |
| Michele D Reynolds | Family Medicine | Sonoma Valley Community Health Center | 19270 Hwy 12, Sonoma, CA 95476-5414 |
| Carol A Ahern | Family Medicine | Sonoma Valley Community Health Center | 19270 Hwy 12, Sonoma, CA 95476-5414 |
| Ajeet S Sidhu | Family Medicine | Sonoma Valley Community Health Center | 19270 Hwy 12, Sonoma, CA 95476-5414 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin C Akar | General Practice | Sonoma Valley Community Health Center | 19270 Sonoma Hwy 12, Sonoma, CA 95476 |
| Grant Michael Dobson | Chiropractic | 19151 Sonoma Hwy, Sonoma, CA 95476 | |
| Yen Trang Vo | Family Practice | Sonoma Valley Community Health Center | 19270 Sonoma Hwy 12, Sonoma, CA 95476 |
| Michael J Kelly | Physical Therapy | Caliente Springs Physical Therapy Inc | 17350 Vailetti Dr, Sonoma, CA 95476-3356 |
| Leslie M Jaubert | Physical Therapy | Caliente Springs Physical Therapy Inc | 17350 Vailetti Dr, Sonoma, CA 95476-3356 |
| Carol Susan Krauthamer | Physical Therapy | Caliente Springs Physical Therapy Inc | 17350 Vailetti Dr, Sonoma, CA 95476-3356 |
| Kimberly F Aul | Physical Therapy | Caliente Springs Physical Therapy Inc | 17350 Vailetti Dr, Sonoma, CA 95476-3356 |
| Kathryn Mulholland | Psychologist, Clinical | 18016 Stanford Ct, Sonoma, CA 95476-4161 | |
| Nancy Mavis | Psychiatry | 710 W Napa St, Suite 2, Sonoma, CA 95476-6408 | |
| Brian E Wirick | Chiropractic | 813 W Napa St, Sonoma, CA 95476-6414 | |
| Find all physicians in zip 95476 | |||
| City | SONOMA |
| Zip Code | 95476 |
| Specialty | PSYCHIATRY |
| City + Specialty | SONOMA + PSYCHIATRY |
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| 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.