MENDOCINO CARE NETWORK (NPI# 1083255095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083255095 |
| Entity Type | Organization |
| Organization Name | MENDOCINO CARE NETWORK |
| Other Organization Name | MADRONE CARE NETWORK |
| Practice Address |
1080 N State St Ukiah CA 95482 |
| Mailing Address |
Po Box 1290 Ukiah CA 95482 |
| Practice Telephone | 7073805080 |
| Practice Fax Number | 8555983597 |
| Mailing Telephone | 7073805080 |
| Mailing Fax Number | 8555983597 |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2019-12-05 |
| Authorized Official Name | MRS. NIAMH I VAN MEINES (SECRETARY) |
| Authorized Official Telephone | 9255920970 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Madrone Care Network | Doing Business As Name - Organization |
| MCN | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1080 N State St, Ukiah, CA 95482 | 7073805080 | 8555983597 |
| 654a Willow Ave, Ukiah, CA 954824243 | 2016944144 |
| Street Address |
1080 N STATE ST |
| City | UKIAH |
| State | CA |
| Zip Code | 95482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932726726 | Gloria Gonzalez Campise | Midwife | 205 W. Clay Street, Ukiah, CA 95482 | 2020-06-29 |
| 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 |
| 1679998439 | Aurelie Carine Clivaz | Case Manager/Care Coordinator | 776 So. State St., Suite 107, Ukiah, CA 95482 | 2014-03-03 |
| Find all providers in zip 95482 | ||||
| Taxonomy Code | 207RH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hospice and Palliative Medicine |
| An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437758596 | Odyssey Healthcare Operating A Lp | Internal Medicine | 2055 Gateway Pl Ste 600, San Jose, CA 95110-1083 | 2020-10-20 |
| 1851990907 | Odyssey Healthcare Operating A Lp | Internal Medicine | 9444 Balboa Ave Ste 290, San Diego, CA 92123-4901 | 2020-10-20 |
| 1700404852 | Envisage Palliative Care | Internal Medicine | 7369 Solstice Pl, Rancho Cucamonga, CA 91739-8769 | 2020-07-06 |
| 1528683398 | A-1 Healthcare Management | Internal Medicine | 5011 Argosy Ave Ste 4, Huntington Beach, CA 92649-1002 | 2020-06-08 |
| 1386275030 | Madrone Care Network LLC | Internal Medicine | 117 Brookline St, Moraga, CA 94556-1016 | 2020-01-31 |
| 1043771678 | Linda Sara Blum | Internal Medicine | 2351 Clay St Ste 339, San Francisco, CA 94115-1931 | 2019-03-27 |
| 1710458245 | Enlightened Healthcare Alliance Medical Corporation | Internal Medicine | 662 Encinitas Blvd Ste 220, Encinitas, CA 92024-6791 | 2018-12-10 |
| 1245745009 | Haiven Hospice Inc | Internal Medicine | 1255 W Colton Ave Ste 564, Redlands, CA 92374-2861 | 2017-12-02 |
| 1174980452 | Aspire Health Medical Partners of California, PC | Internal Medicine | 117 E Colorado Blvd, Suite 600, Pasadena, CA 91105-1938 | 2016-01-18 |
| 1396122388 | Ramy Salah | Internal Medicine | 50 S San Mateo Dr Ste 480, San Mateo, CA 94401 | 2015-04-29 |
| Find all providers with the same taxonomy | ||||
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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.