Daniel R Allen (NPI# 1841383825, PAC ID# 5597652313) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1841383825 |
| PAC ID by PECOS | 5597652313 |
| Professional Enrollment ID | I20130430000418 |
| Full Name | Daniel R Allen |
| Organization Legal Name | MENDOCINO COMMUNITY HEALTH CLINIC, INC. |
| Address |
5335 Lakeshore Blvd Lakeport CA 95453-6123 |
| Phone Number | 7072637725 |
| Gender | M |
| Credential | PA |
| Graduation Year | 1981 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6305755455 |
| Number of Group Practice Members | 46 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050417 | SUTTER COAST HOSPITAL |
| 051329 | SUTTER LAKESIDE HOSPITAL |
| 050301 | ADVENTIST HEALTH UKIAH VALLEY |
| 051317 | ADVENTIST HEALTH CLEARLAKE |
| Address | Phone | Organization |
|---|---|---|
| 5335 Lakeshore Blvd, Lakeport, CA 95453-6123 | 7072637725 | MENDOCINO COMMUNITY HEALTH CLINIC, INC. |
| 45 Hazel St, Willits, CA 95490-4222 | 7074569600 | MENDOCINO COMMUNITY HEALTH CLINIC, INC. |
| Organization Legal Name | MENDOCINO COMMUNITY HEALTH CLINIC, INC. |
| Physicians | 48 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Annunziata Jp Van Voorne | Clinical Social Worker | Mendocino Community Health Clinic, Inc. | 5335 Lakeshore Blvd, Lakeport, CA 95453-6123 |
| Guy R Teran | Internal Medicine | Mendocino Community Health Clinic, Inc. | 333 Laws Ave, Ukiah, CA 95482-6540 |
| Adwoa A Christy | Obstetrics/gynecology | Mendocino Community Health Clinic, Inc. | 45 Hazel St, Willits, CA 95490-4222 |
| Liliane Robison | Nurse Practitioner | Mendocino Community Health Clinic, Inc. | 333 Laws Ave, Ukiah, CA 95482-6540 |
| Laurence W Hartley | Obstetrics/gynecology | Mendocino Community Health Clinic, Inc. | 333 Laws Ave, Ukiah, CA 95482-6540 |
| Karin F Hudson | Psychologist, Clinical | Mendocino Community Health Clinic, Inc. | 5335 Lakeshore Blvd, Lakeport, CA 95453-6123 |
| Paul M Hupp | Physician Assistant | Mendocino Community Health Clinic, Inc. | 333 Laws Ave, Ukiah, CA 95482-6540 |
| Cayo K Alba | Certified Nurse Midwife (cnm) | Mendocino Community Health Clinic, Inc. | 333 Laws Ave, Ukiah, CA 95482-6540 |
| Christopher N Ayeko | Nurse Practitioner | Mendocino Community Health Clinic, Inc. | 5335 Lakeshore Blvd, Lakeport, CA 95453-6123 |
| Erika Gary | Nurse Practitioner | Mendocino Community Health Clinic, Inc. | 333 Laws Ave, Ukiah, CA 95482-6540 |
| Street Address |
5335 LAKESHORE BLVD |
| City | LAKEPORT |
| State | CA |
| Zip | 95453-6123 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Annunziata Jp Van Voorne | Clinical Social Worker | Mendocino Community Health Clinic, Inc. | 5335 Lakeshore Blvd, Lakeport, CA 95453-6123 |
| Karin F Hudson | Psychologist, Clinical | Mendocino Community Health Clinic, Inc. | 5335 Lakeshore Blvd, Lakeport, CA 95453-6123 |
| Christopher N Ayeko | Nurse Practitioner | Mendocino Community Health Clinic, Inc. | 5335 Lakeshore Blvd, Lakeport, CA 95453-6123 |
| Charissa M Barsos | Nurse Practitioner | Mendocino Community Health Clinic, Inc. | 5335 Lakeshore Blvd, Lakeport, CA 95453-6123 |
| Stephen G Vance | Psychiatry | Mendocino Community Health Clinic, Inc. | 5335 Lakeshore Blvd, Lakeport, CA 95453-6123 |
| Stephan Paul Ouellette | Clinical Social Worker | Mendocino Community Health Clinic, Inc. | 5335 Lakeshore Blvd, Lakeport, CA 95453-6123 |
| Karen J Kennedy | Physician Assistant | Mendocino Community Health Clinic, Inc. | 5335 Lakeshore Blvd, Lakeport, CA 95453-6123 |
| Mary S Ziady | Nurse Practitioner | Mendocino Community Health Clinic, Inc. | 5335 Lakeshore Blvd, Lakeport, CA 95453-6123 |
| Steven C Wirth | Family Medicine | Mendocino Community Health Clinic, Inc. | 5335 Lakeshore Blvd, Lakeport, CA 95453-6123 |
| Benjamin J Anderson | Clinical Social Worker | Mendocino Community Health Clinic, Inc. | 5335 Lakeshore Blvd, Lakeport, CA 95453-6123 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Alwyn Jameson | Chiropractic | 930 11th St, Lakeport, CA 95453-4104 | |
| Geoffrey L Rice | Ophthalmology | Ukiah Adventist Hospital | 475 N Forbes St, Lakeport, CA 95453-4725 |
| Joanne M Lamonica | Urology | Ukiah Adventist Hospital | 475 N Forbes St, Lakeport, CA 95453-4725 |
| Randall E Woesner | Ophthalmology | Ukiah Adventist Hospital | 475 N Forbes St, Lakeport, CA 95453-4725 |
| Alanna Lee Wargula | Podiatry | Parkview Podiatry | 175 Park St, Lakeport, CA 95453-4803 |
| Katherine Andre | Psychologist, Clinical | 75 4th St, Lakeport, CA 95453-4804 | |
| Allison Jill Aclufi | Clinical Psychologist | 380 N Main St J, Lakeport, CA 95453-4845 | |
| Erin Alice Dailey | Psychologist, Clinical | 149 N Main St, Suite 200, Lakeport, CA 95453-4846 | |
| Mark L Buehnerkemper | Optometry | 120 S Main St, Lakeport, CA 95453-5017 | |
| David L Browning | Optometry | 225 S Main St, Lakeport, CA 95453-5018 | |
| Find all physicians in zip 95453 | |||
| City | LAKEPORT |
| Zip Code | 95453 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | LAKEPORT + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Daniel R Allen.
| 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.