Jody L Daudel (NPI# 1114107877, PAC ID# 4688714744) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1114107877 |
| PAC ID by PECOS | 4688714744 |
| Professional Enrollment ID | I20091221000613 |
| Full Name | Jody L Daudel |
| Organization Legal Name | LA CLINICA DE LA RAZA INC |
| Address |
210 Hospital Dr Vallejo CA 94589-2517 |
| Phone Number | 7076457316 |
| Gender | F |
| Medical School | ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY |
| Graduation Year | 2004 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 1557258282 |
| Number of Group Practice Members | 91 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 210 Hospital Dr, Vallejo, CA 94589-2517 | 7076457316 | LA CLINICA DE LA RAZA INC |
| 220 Hospital Dr, Vallejo, CA 94589-2517 | 7076411900 | LA CLINICA DE LA RAZA INC |
| 243 Georgia St B, Vallejo, CA 94590-5905 | 7075568100 | LA CLINICA DE LA RAZA INC |
| Organization Legal Name | LA CLINICA DE LA RAZA INC |
| Physicians | 107 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Catherine Heckert | Nurse Practitioner | La Clinica De La Raza Inc | 220 Hospital Dr, Vallejo, CA 94589-2517 |
| Subathra Murugaiah | Family Medicine | La Clinica De La Raza Inc | 243 Georgia St B, Vallejo, CA 94590-5905 |
| Jennifer Westerman | Nurse Practitioner | La Clinica De La Raza Inc | 2240 Gladstone Dr, Suite 4, Pittsburg, CA 94565-5126 |
| Maria Catalina Cuervo | Family Medicine | La Clinica De La Raza Inc | 1515 Fruitvale Ave, Oakland, CA 94601-2322 |
| Ken Marriner | Family Medicine | La Clinica De La Raza Inc | 3451 E 12th St, Oakland, CA 94601-3463 |
| Harpreet Kaur | Nurse Practitioner | La Clinica De La Raza Inc | 2000 Sierra Rd, Concord, CA 94518-2905 |
| Monique Nguyen | Optometry | La Clinica De La Raza Inc | 3060 E 9th St B, Oakland, CA 94601-2925 |
| Guadalupe Elizondo | Physician Assistant | La Clinica De La Raza Inc | 2021 Main St, Oakley, CA 94561-3302 |
| Lisa Renee Montang | Family Medicine | La Clinica De La Raza Inc | 1030 International Blvd, Oakland, CA 94606-3730 |
| Alireza Rezapour | Internal Medicine | La Clinica De La Raza Inc | 2000 Sierra Rd, Concord, CA 94518-2905 |
| Street Address |
210 HOSPITAL DR |
| City | VALLEJO |
| State | CA |
| Zip | 94589-2517 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony Mrgudich | Family Medicine | La Clinica De La Raza Inc | 210 Hospital Dr, Vallejo, CA 94589-2517 |
| Heather Wright | Physician Assistant | La Clinica De La Raza Inc | 210 Hospital Dr, Vallejo, CA 94589-2517 |
| Aide Irene Paredes-salceda | Physician Assistant | La Clinica De La Raza Inc | 210 Hospital Dr, Vallejo, CA 94589-2517 |
| Robin Wempe | Physician Assistant | La Clinica De La Raza Inc | 210 Hospital Dr, Vallejo, CA 94589-2517 |
| Lillian E Garcia | Certified Nurse Midwife | La Clinica De La Raza Inc | 210 Hospital Dr, Vallejo, CA 94589-2517 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wayne K Ogata | Optometry | 4300 Sonoma Blvd, Suite 508, Vallejo, CA 94589-2210 | |
| Matthew J Holland | Psychologist, Clinical | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Jamie S Baskett | Clinical Social Worker | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Jonathan D Getz | Psychiatry | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Serena M Wong | Psychiatry | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Heather L Nelson | Psychologist, Clinical | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Jeremiah L Johnson | Psychologist, Clinical | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Jeannie E Celestial | Psychologist, Clinical | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Angel A Hurtado | Clinical Social Worker | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Allen T Mckee | Psychiatry | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Find all physicians in zip 94589 | |||
| City | VALLEJO |
| Zip Code | 94589 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | VALLEJO + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Jody L Daudel.
| 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.