Evan M Chalfin
OPEN DOOR COMMUNITY HEALTH CENTERS


Address: 638 Main St, Ferndale, CA 95536
Phone: 7077864028

Evan M Chalfin (NPI# 1316485006, PAC ID# 6507136165) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1316485006
PAC ID by PECOS 6507136165
Professional Enrollment ID I20180829004069
Full Name Evan M Chalfin
Organization Legal Name OPEN DOOR COMMUNITY HEALTH CENTERS
Address 638 Main St
Ferndale
CA 95536
Phone Number 7077864028
Gender M
Graduation Year 2016
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 9436067485
Number of Group Practice Members 77
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050006 ST JOSEPH HOSPITAL
051318 REDWOOD MEMORIAL HOSPITAL

Other Locations

Address Phone Organization
638 Main St, Ferndale, CA 95536 7077864028 OPEN DOOR COMMUNITY HEALTH CENTERS

Organization Information

Organization Legal Name OPEN DOOR COMMUNITY HEALTH CENTERS
Physicians 96

Physicians with the same organization

Name Specialty Organization Address
William O Jones Physician Assistant Open Door Community Health Centers 38883 Hwy 299, Willow Creek, CA 95573
Angelo J Alfano Nurse Practitioner Open Door Community Health Centers 2200 Tydd St, Eureka, CA 95501-1284
Diana E Moser Nurse Practitioner Open Door Community Health Centers 3306 Renner Dr, Fortuna, CA 95540-3120
Daniel Richard Lefler Physician Assistant Open Door Community Health Centers 550 E Washington Blvd, Crescent City, CA 95531-8160
Caroline A Lowry Physician Assistant Open Door Community Health Centers 785 18th St, Arcata, CA 95521-5683
Nathan Copple Family Medicine Open Door Community Health Centers 1644 Central Ave, Mckinleyville, CA 95519-4342
Cindy S Norvell Family Medicine Open Door Community Health Centers 770 10th St, Arcata, CA 95521-6210
David C Villasenor Psychiatry Open Door Community Health Centers 2426 Buhne St, Eureka, CA 95501-3207
Angela N Murray Physician Assistant Open Door Community Health Centers 2200 Tydd St, Eureka, CA 95501-1284
Sandra Yvonne Lee Nurse Practitioner Open Door Community Health Centers 2200 Tydd St, Eureka, CA 95501-1284

Office Location

Street Address 638 MAIN ST
City FERNDALE
State CA
Zip 95536

Physicians in the same location

Name Specialty Organization Address
George A A Santos Optometry 638 Main St, Vineyard Haven, MA 02568-0327

Competitor

Search similar physicians

City FERNDALE
Zip Code 95536
Specialty NURSE PRACTITIONER
City + Specialty FERNDALE + NURSE PRACTITIONER

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Dataset Information

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.

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