FRED SLY (NPI# 1023225844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023225844 |
| Entity Type | Individual |
| Full Name | FRED SLY |
| Practice Address |
860 N Bush St Ukiah CA 95482-3919 |
| Practice Telephone | 7074634396 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 172A00000X | Driver | Other Service Providers | ||
| X | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
860 N BUSH ST |
| City | UKIAH |
| State | CA |
| Zip Code | 95482-3919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588730642 | County of Mendocino | Clinic/Center | 860 N Bush St, Ukiah, CA 95482-3919 | 2006-11-28 |
| 1013160241 | Henry Sadowski | Case Manager/Care Coordinator | 860 N Bush St, Ukiah, CA 95482-3919 | 2008-10-31 |
| 1861643124 | Thomas Darcey | Marriage & Family Therapist | 860 N Bush St, Ukiah, CA 95482-3919 | 2008-10-06 |
| 1831352897 | Kashmir Maciel Berry | Driver | 860 N Bush St, Ukiah, CA 95482-3919 | 2008-07-09 |
| 1962664953 | Carol Coughlin | Marriage & Family Therapist | 860 N Bush St, Ukiah, CA 95482-3919 | 2008-06-30 |
| 1780846766 | Sharon Pike | Licensed Psychiatric Technician | 860 N Bush St, Ukiah, CA 95482-3919 | 2008-06-30 |
| 1346402906 | Robert Henderson | Case Manager/Care Coordinator | 860 N Bush St, Ukiah, CA 95482-3919 | 2008-06-25 |
| 1780885400 | Linda Biale | Driver | 860 N Bush St, Ukiah, CA 95482-3919 | 2007-05-30 |
| 1831309467 | Jesse William Vanvoorhis | Driver | 860 N Bush St, Ukiah, CA 95482-3919 | 2007-05-23 |
| 1649480690 | Lauren Malugani | Driver | 860 N Bush St, Ukiah, CA 95482-3919 | 2007-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932726726 | Gloria Gonzalez Campise | Midwife | 205 W. Clay Street, Ukiah, CA 95482 | 2020-06-29 |
| 1083255095 | Mendocino Care Network | Internal Medicine | 1080 N State St, Ukiah, CA 95482 | 2019-10-01 |
| 1801383153 | Costco Wholesale Corporation | Pharmacy | 1275 Airport Park Blvd., Ukiah, CA 95482 | 2018-04-21 |
| 1922528256 | Ian David Winter | Case Manager/Care Coordinator | 1120 S. Dora St, Ukiah, CA 95482 | 2017-06-27 |
| 1568917938 | Rebecca Ann Dragomani | Nurse Practitioner | 260 Hospital Dr Ste 101, Ukiah, CA 95482 | 2016-08-16 |
| 1811362536 | Manzanita Services, Inc. | Community/Behavioral Health | 410 W. Jones St., Ukiah, CA 95482 | 2015-12-07 |
| 1689061061 | Pamela Mathias | Counselor | 367 East Gobbi Street, Suite E, Ukiah, CA 95482 | 2015-04-23 |
| 1275927030 | Jack David Segel | Counselor | 564 Dora St., Ste.d, Ukiah, CA 95482 | 2015-03-19 |
| 1689070211 | Mendocino County Youth Project | Clinic/Center | 347 Plum St, #b, Ukiah, CA 95482 | 2014-11-10 |
| 1346649951 | Ae Ran Ku | Dentist | 1096 South Dora Street, Ukiah, CA 95482 | 2014-08-19 |
| Find all providers in zip 95482 | ||||
| Taxonomy Code | 172A00000X |
| Grouping | Other Service Providers |
| Classification | Driver |
| A person employed to operate a motor vehicle as a carrier of persons or property. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639394315 | Laraine Kendall | Driver | 50 Carousel Ln Ste 18a, Ukiah, CA 95482-8722 | 2007-04-16 |
| 1831352897 | Kashmir Maciel Berry | Driver | 860 N Bush St, Ukiah, CA 95482-3919 | 2008-07-09 |
| 1174724942 | Gregory John Hernandez | Driver | 1120 S Dora St, Ukiah, CA 95482-6340 | 2007-05-30 |
| 1780885400 | Linda Biale | Driver | 860 N Bush St, Ukiah, CA 95482-3919 | 2007-05-30 |
| 1104027382 | Jesse Dugger | Driver | 564 S Dora St, Suite B2, Ukiah, CA 95482-5486 | 2007-05-29 |
| 1831309467 | Jesse William Vanvoorhis | Driver | 860 N Bush St, Ukiah, CA 95482-3919 | 2007-05-23 |
| 1649480690 | Lauren Malugani | Driver | 860 N Bush St, Ukiah, CA 95482-3919 | 2007-05-22 |
| 1497964415 | James Erikson | Driver | 860 N Bush St, Ukiah, CA 95482-3919 | 2007-05-22 |
| 1316157357 | Steve Hanson | Driver | 860 N Bush St, Ukiah, CA 95482-3919 | 2007-05-22 |
| 1437367752 | Mary Turner | Driver | 860 N Bush St, Ukiah, CA 95482-3919 | 2007-05-18 |
| Find all providers in UKIAH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.