Dwayne P Vanderberg (NPI# 1225012008, PAC ID# 5193789139) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1225012008 |
| PAC ID by PECOS | 5193789139 |
| Professional Enrollment ID | I20041118000564 |
| Full Name | Dwayne P Vanderberg |
| Organization Legal Name | AMPLA HEALTH |
| Address |
4941 Olivehurst Ave Olivehurst CA 95961-4225 |
| Phone Number | 5307434611 |
| Gender | M |
| Credential | MD |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 5092619270 |
| Number of Group Practice Members | 44 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050133 | RIDEOUT MEMORIAL HOSPITAL |
| 050030 | OROVILLE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4941 Olivehurst Ave, Olivehurst, CA 95961-4225 | 5307434611 | AMPLA HEALTH |
| 2800 Lincoln St, Oroville, CA 95966-5961 | 5305347500 | AMPLA HEALTH |
| Organization Legal Name | AMPLA HEALTH |
| Physicians | 42 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kerri A Bartlett | Family Medicine | Ampla Health | 555 Fremont St, Colusa, CA 95932-2534 |
| Bahareh Daneshbod | Chiropractic | Ampla Health | 520 Kentucky St, Gridley, CA 95948-2116 |
| Samuel E Garcia | Family Medicine | Ampla Health | 1211 Cortina Dr, Orland, CA 95963-1699 |
| Joshua Kinney | Chiropractic | Ampla Health | 680 Cohasset Rd, Chico, CA 95926-2213 |
| Jujhar K Sandhu | Internal Medicine | Ampla Health | 2800 Lincoln St, Oroville, CA 95966-5961 |
| Subil C Go | Nephrology | Ampla Health | 1000 Sutter St, Yuba City, CA 95991-3459 |
| Jose Molina | Family Medicine | Ampla Health | 89 Putnam Way, Arbuckle, CA 95912-9814 |
| Sartaj Sandhu | Internal Medicine | Ampla Health | 2800 Lincoln St, Oroville, CA 95966-5961 |
| Alan Richard Riley | Chiropractic | Ampla Health | 2800 Lincoln St, Oroville, CA 95966-5961 |
| Wieslawa Krasinski | Family Medicine | Ampla Health | 1000 Sutter St, Yuba City, CA 95991-3459 |
| Street Address |
4941 OLIVEHURST AVE |
| City | OLIVEHURST |
| State | CA |
| Zip | 95961-4225 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kaneshka Alamshahi | Family Medicine | Ampla Health | 4941 Olivehurst Ave, Olivehurst, CA 95961-4225 |
| Karl F Valrey | Internal Medicine | Ampla Health | 4941 Olivehurst Ave, Olivehurst, CA 95961-4225 |
| Huy Q Phung | Family Medicine | Ampla Health | 4941 Olivehurst Ave, Olivehurst, CA 95961-4225 |
| Shirley M Ohlson | Registered Dietitian Or Nutrition Professional | Ampla Health | 4941 Olivehurst Ave, Olivehurst, CA 95961-4225 |
| Marwa Hammoud | Infectious Disease | Ampla Health | 4941 Olivehurst Ave, Olivehurst, CA 95961-4225 |
| Mustafa Ammar | Internal Medicine | Ampla Health | 4941 Olivehurst Ave, Olivehurst, CA 95961-4225 |
| Kenneth D Forsythe | Sports Medicine | Ampla Health | 4941 Olivehurst Ave, Olivehurst, CA 95961-4225 |
| Srikanth Kolli | Chiropractic | Ampla Health | 4941 Olivehurst Ave, Olivehurst, CA 95961-4225 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mai Y Vang | Clinical Social Worker | County of Sutter | 4853 Olivehurst Ave, Olivehurst, CA 95961-4228 |
| City | OLIVEHURST |
| Zip Code | 95961 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | OLIVEHURST + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Dwayne P Vanderberg.
| 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.