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Health Care Providers in Shasta Lake, California

Organization, NamePractice AddressPractice Phone  TaxonomyNPI
Agu, Stanley 5350 Shasta Dam Blvd      Shasta Lake  CA 96019-9402530-275-1532183500000X1659826584
Allen, Dr. Diane E D.D.S.4340 Shasta Dam Blvd      Shasta Lake  CA 96019-9420530-275-30771223G0001X1457337248
OTHER CA LICENSE NUMBER : 26802
Baas, Donald Roy P.T.5061 Shasta Dam Blvd      Shasta Lake  CA 96019-9422530-275-0777225100000X1245268317
MEDICAID WA : 7115371
Baas, Erin Marie PT5061 Shasta Dam Blvd      Shasta Lake  CA 96019-9422530-275-0777225100000X1427253699
Bann, Mr. Wayne 5350 Shasta Dam Blvd      Shasta Lake  CA 96019-9402530-275-1532183500000X1447486733
Budhram, Dr. Harold S. M.D5145 Shasta Dam Blvd      Shasta Lake  CA 96019-9403530-275-5421207Q00000X1871518761
OTHER CA STATE ID : G31973 || MEDICAID CA : RHM53954F || OTHER CA TAX ID# : 68-0188060 || OTHER CA DEA # : AB7238428
Bullock, Katie LMFT5232 Shasta Dam Blvd Ste C      Shasta Lake  CA 96019-9398530-605-4373106H00000X1437550498
Campbell, Mr. Tracy Daniel CAS5010 Shasta Dam Blvd      Shasta Lake  CA 96019-9406530-275-1076101YA0400X1861753493
Cates, Jeri Rene'e RN, MSN, FNPC5145 Shasta Dam Blvd      Shasta Lake  CA 96019-9403530-275-5421363L00000X1972831519
OTHER CA NP LISCENSE : NP 19231
Chambers, Dr. Ronald G I M.D.4174 Ashby Ct      Shasta Lake  CA 96019-9215530-275-3094207Q00000X1215920319
OTHER CA 00G271700 : BLUE SHIELD || OTHER CA 00G271700 : BLUE CROSS || OTHER CA DEA NUMBER : AC6150370 || OTHER MEDICARE ID : ZZZ01370Z || OTHER CA VITERA ACCOUNT : 1243370356 || OTHER CA CALIF STATE LICENSE NUMBE : G27170 || MEDICAID CA : 1861616567 || OTHER CA MEDI-CAL PIN NUMBER : 4490118 || OTHER CA BLUE SHIELD ID NUMBER : 00G271700 || MEDICAID CA : 00G271700
Codianne, Dr. Natalie PHARMD5350 Shasta Dam Blvd      Shasta Lake  CA 96019-9402530-275-1532183500000X1740561877
Corpuz, Terri Anne PHARM D5350 Shasta Dam Blvd      Shasta Lake  CA 96019-9402530-275-1532183500000X1932691227
Corral, Lisa Marie 5034 Kevin Ln      Shasta Lake  CA 96019-9741530-209-1837183700000X1316389067
Davids, Stephen 5061 Shasta Dam Blvd      Shasta Lake  CA 96019-9405530-275-0777225100000X1144839366
Deforest, Peggy Jane P.A.5145 Shasta Dam Blvd      Shasta Lake  CA 96019-9403530-275-5421363A00000X1447460522
Dilts-waldrop, Denise 4626 Shasta Dam Blvd      Shasta Lake  CA 96019-9414(53-0) -275-0866156FX1800X1851812267
Dinubilo, Lisa Marie PHARM. D5350 Shasta Dam Blvd      Shasta Lake  CA 96019-9402530-275-1532183500000X1497908552
Earle, Mr. James G M.P.T., C.S.C.S.5061 Shasta Dam Blvd      Shasta Lake  CA 96019-9405530-275-0777225100000X1235210501
MEDICAID CA : PT0184300
Enzler, Samantha 5350 Shasta Dam Blvd      Shasta Lake  CA 96019-9402530-275-1532183500000X1063819696
Ferguson, Darrin RN17764 Pine Ave.      Shasta Lake  CA 96089-5793530-275-4328163W00000X1376968354
Hoang, Thinh Tan PHARM.D5350 Shasta Dam Blvd      Shasta Lake  CA 96019-9402530-275-1532183500000X1205129822
Huynh, Bao Ying RPH5350 Shasta Dam Blvd      Shasta Lake  CA 96019-9402530-275-1532183500000X1518355809
Ji, Zhibin DDS4340 Shasta Dam Blvd      Shasta Lake  CA 96019-9420530-275-2910122300000X1245390079
Knedel, Jeremy Wade P.T.5061 Shasta Dam Blvd      Shasta Lake  CA 96019-9405530-275-0777225100000X1538405881
Knickerbocker, Dr. .pamela Rose D.O.4215 Front St      Shasta Lake  CA 96019-9430530-246-5896207Q00000X1164561353
MEDICAID OK : 200182150A
Kobe, Christopher Lewis D.C.4221 Shasta Dam Blvd      Shasta Lake  CA 96019-9423530-275-1585111N00000X1912931197
OTHER CA GROUP NPI : 1235152364 || OTHER CA PARTNER KAY KOBE DC NPI : 1568496743 || MEDICAID CA : DC0164540 || OTHER CA BLUE SHIELD/CROSS GROUP# : ZZZ08124Z || OTHER CA GROUP MEDICARE : ZZZ27906Z
Kobe, Kay Ellen D.C.4221 Shasta Dam Blvd      Shasta Lake  CA 96019-9423530-275-1585111N00000X1568496743
OTHER PARTNERCHRIS KOBE, DC NPI : 1912931197 || OTHER CA GROUP NPI : 1235152364 || OTHER CA BLUE SHIELD/CROSS GROUP : ZZZ08124Z || MEDICAID CA : DC0174570 || OTHER CA GROUP MEDICARE : ZZZ27906Z
Koekemoer, Mr. Pieter Jacobus RPH5350 Shasta Dam Blvd      Shasta Lake  CA 96019-9402530-275-1532183500000X1154630705
Marshall, Ms. Jill M LCSW4052 Pembroke Ln      Shasta Lake  CA 96019-2411510-207-35571041C0700X1033385562
Martin, Dr. Richard Arthur O.D.4626 Shasta Dam Blvd      Shasta Lake  CA 96019-9414530-275-0866152WL0500X1760458269
Meyer, John PHARMD5350 Shasta Dam Blvd      Shasta Lake  CA 96019-9402530-275-1532183500000X1093353765
Moore, Dr. Adrian Glen D.C.4763 Vallecito St      Shasta Lake  CA 96019-9348530-275-2422111N00000X1235201799
Nuss, Mrs. Kathryn Jocelyn CASII, NCACI5010 Shasta Dam Blvd      Shasta Lake  CA 96019-9406530-275-1076101YA0400X1730449620
O'learly, Mr. Patrick MFT17682 Yellow Pine Ave      Shasta Lake  CA 96019-2074530-275-6006106H00000X1538209572
Porter, Elaine MD4215 Front St      Shasta Lake  CA 96019-9430530-246-5710207Q00000X1972522613
Ratliff, Jennifer Lynn PT4216 Shasta Dam Blvd      Shasta Lake  CA 96019-9422530-275-0777225100000X1083809750
Russell, Mr. John Douglas DDS4178 Ashby Court      Shasta Lake City  CA 96019530-275-2910122300000X1902958077
MEDICAID CA : B2004201
Smith, Ms. Pamela Jeanne CAS5010 Shasta Dam Blvd      Shasta Lake  CA 96019-9406530-275-1076101YA0400X1457612087
Troll, Ryan Vaughn DPT5061 Shasta Dam Blvd      Shasta Lake  CA 96019-9405530-275-0777225100000X1477008035
Waldrop, Mr. Gary Daniel OPTICIAN4601 Shasta Dam Blvd      Shasta Lake  CA 96019-9413530-275-8581156FX1800X1861516007
OTHER CA MEDICAL EYE SERVICES : 9419 || OTHER CA EYE MED PROVIDER NUMBER : CA4661 || MEDICAID CA : DX067260F


HEALTH CARE JOBS CA - Page 1



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