Maria W House
SURGICAL AFFILIATES OF CALIFORNIA


Address: 5176 Hill Rd E, Lakeport, CA 95453-6300
Phone: 7072625000

Maria W House (NPI# 1023002151, PAC ID# 7618868456) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.

Physician Overview

Nation Provider ID (NPI) 1023002151
PAC ID by PECOS 7618868456
Professional Enrollment ID I20180418002407
Full Name Maria W House
Organization Legal Name SURGICAL AFFILIATES OF CALIFORNIA
Address 5176 Hill Rd E
Lakeport
CA 95453-6300
Phone Number 7072625000
Gender F
Medical School OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year 1990
Primary Specialty GENERAL SURGERY
Group Practice PAC ID 3375782667
Number of Group Practice Members 14
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050014 SUTTER AMADOR HOSPITAL
050528 MEMORIAL HOSPITAL LOS BANOS

Other Locations

Address Phone Organization
200 Mission Blvd, Jackson, CA 95642-2564 2092237500 SURGICAL AFFILIATES OF CALIFORNIA
200 Mission Blvd, Jackson, CA 95642-2564 ACUTE CARE SURGERY MEDICAL GROUP INC
5176 Hill Rd E, Lakeport, CA 95453-6300 7072625000 SURGICAL AFFILIATES OF CALIFORNIA
5176 Hill Rd E, Lakeport, CA 95453-6300 ACUTE CARE SURGERY MEDICAL GROUP INC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 100%

Organization Information

Organization Legal Name SURGICAL AFFILIATES OF CALIFORNIA
Physicians 9

Physicians with the same organization

Name Specialty Organization Address
Bess E Brackett Orthopedic Surgery Surgical Affiliates of California 200 Mission Blvd, Jackson, CA 95642-2564
Wei Loong Glenn Koh General Surgery Surgical Affiliates of California 520 W I St, Los Banos, CA 93635-3419
Rick F Pospisil Orthopedic Surgery Surgical Affiliates of California 200 Mission Blvd, Jackson, CA 95642-2564
Patrick J Osgood Orthopedic Surgery Surgical Affiliates of California 5176 Hill Rd E, Lakeport, CA 95453-6300
Kerisimasi L Reynolds Orthopedic Surgery Surgical Affiliates of California 5196 Hill Rd E, Suite 203, Lakeport, CA 95453-6362
Ronald G Rosen General Surgery Surgical Affiliates of California 5176 Hill Rd E, Lakeport, CA 95453-6300
Amber Chatwin Orthopedic Surgery Surgical Affiliates of California 5176 Hill Rd E, Lakeport, CA 95453-6300
Peter L Wong General Surgery Surgical Affiliates of California 520 W I St, Los Banos, CA 93635-3419

Office Location

Street Address 5176 HILL RD E
City LAKEPORT
State CA
Zip 95453-6300

Physicians in the same location

Name Specialty Organization Address
Anand G Nataraj Emergency Medicine San Francisco Emergency Medical 5176 Hill Rd E, Lakeport, CA 95453-6300
David Ray Racker Diagnostic Radiology California Advanced Imaging Medical Associates, Inc. 5176 Hill Rd E, Lakeport, CA 95453-6300
John Alvar Sundin General Surgery Sutter Bay Hospitals 5176 Hill Rd E, Lakeport, CA 95453-6300
Mary E Andich Nurse Practitioner San Francisco Emergency Medical 5176 Hill Rd E, Lakeport, CA 95453-6300
Naveen Maramreddy Hospitalist Farallon Inpatient Medical Group Inc 5176 Hill Rd E, Lakeport, CA 95453-6300
Amanda L Smithers Physician Assistant Sutter Bay Hospitals 5176 Hill Rd E, Lakeport, CA 95453-6300
Tony D Veletto Internal Medicine Farallon Inpatient Medical Group Inc 5176 Hill Rd E, Lakeport, CA 95453-6300
Jean Pierre Phancao Diagnostic Radiology California Advanced Imaging Medical Associates, Inc. 5176 Hill Rd E, Lakeport, CA 95453-6300
Thomas L Lawson Diagnostic Radiology California Advanced Imaging Medical Associates, Inc. 5176 Hill Rd E, Lakeport, CA 95453-6300
William Davis Duge Diagnostic Radiology California Advanced Imaging Medical Associates, Inc. 5176 Hill Rd E, Lakeport, CA 95453-6300
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Physicians in the same zip code

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

Competitor

Search similar physicians

City LAKEPORT
Zip Code 95453
Specialty GENERAL SURGERY
City + Specialty LAKEPORT + GENERAL SURGERY

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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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