Grace Tidwell (NPI# 1437579786, PAC ID# 4789902040) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1437579786 |
| PAC ID by PECOS | 4789902040 |
| Professional Enrollment ID | I20190516001300 |
| Full Name | Grace Tidwell |
| Organization Legal Name | OMNI FAMILY HEALTH |
| Address |
2101 7th St Wasco CA 93280-1502 |
| Phone Number | 6617582263 |
| Gender | F |
| Medical School | UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9234176363 |
| Number of Group Practice Members | 71 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050455 | ADVENTIST HEALTH BAKERSFIELD |
| Address | Phone | Organization |
|---|---|---|
| 2101 7th St, Wasco, CA 93280-1502 | 6617582263 | OMNI FAMILY HEALTH |
| Organization Legal Name | OMNI FAMILY HEALTH |
| Physicians | 70 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katie C Mckay | Clinical Social Worker | Omni Family Health | 655 S Central Valley Hwy, Shafter, CA 93263-2790 |
| Kim M Tucker | Nurse Practitioner | Omni Family Health | 161 N Mill St, Tehachapi, CA 93561-1347 |
| Jennifer D Ocampo | Nurse Practitioner | Omni Family Health | 4600 Panama Ln, 102b, Bakersfield, CA 93313-3511 |
| Cynthia Cuellar | Nurse Practitioner | Omni Family Health | 210 N Chester Ave, Bakersfield, CA 93308-4841 |
| Sherwin Yu Yee Loo | Chiropractic | Omni Family Health | 1100 4th St B, Taft, CA 93268-2415 |
| Vanesa F Cheng | Nurse Practitioner | Omni Family Health | 4151 Mexicali Dr, Bakersfield, CA 93313-2065 |
| Moncy R John | Nurse Practitioner | Omni Family Health | 2101 7th St, Wasco, CA 93280-1502 |
| Cristina S Dulcich | Nurse Practitioner | Omni Family Health | 3409 Calloway Dr, Suite 300, Bakersfield, CA 93312-2532 |
| Harjeet K Randhawa | Nurse Practitioner | Omni Family Health | 525 Roberts Ln, Bakersfield, CA 93308-4799 |
| Manjot Dhaliwal | Physician Assistant | Omni Family Health | 277 E Front St, Buttonwillow, CA 93206-0917 |
| Street Address |
2101 7TH ST |
| City | WASCO |
| State | CA |
| Zip | 93280-1502 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Moncy R John | Nurse Practitioner | Omni Family Health | 2101 7th St, Wasco, CA 93280-1502 |
| Robert Shannon | Nurse Practitioner | Omni Family Health | 2101 7th St, Wasco, CA 93280-1502 |
| Magued R Rizk | Family Medicine | Omni Family Health | 2101 7th St, Wasco, CA 93280-1502 |
| Douglas C Reber | Optometry | Omni Family Health | 2101 7th St, Wasco, CA 93280-1502 |
| James J Ardis | Optometry | Omni Family Health | 2101 7th St, Wasco, CA 93280-1502 |
| Ryan L Cheng | Nurse Practitioner | Omni Family Health | 2101 7th St, Wasco, CA 93280-1502 |
| Rebecca Espinoza | Physician Assistant | Omni Family Health | 2101 7th St, Wasco, CA 93280-1502 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol V Funk Hamilton | Chiropractic | 1241 7th St, Wasco, CA 93280-1820 | |
| Julie Wilcox | Psychiatry | County of Kern | 930 F St, Wasco, CA 93280-2040 |
| Rossano L Bangasan | Psychiatry | County of Kern | 930 F St, Wasco, CA 93280-2040 |
| City | WASCO |
| Zip Code | 93280 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WASCO + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Grace Tidwell.
| 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.