DR. PAMELA ROUSSOS (NPI# 1275612038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275612038 |
Entity Type | Individual |
Full Name | DR. PAMELA ROUSSOS |
Credential | DO |
Practice Address |
1146 Olivewood Dr Merced CA 95348-1210 |
Mailing Address |
Po Box 2718 Merced CA 95344-0718 |
Practice Telephone | 2097230019 |
Practice Fax Number | 4159463489 |
Mailing Telephone | 2097230019 |
Mailing Fax Number | 4159463489 |
Enumeration Date | 2006-11-03 |
Last Update Date | 2012-03-29 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 20A8409 | CA | Allopathic & Osteopathic Physicians |
Street Address |
1146 OLIVEWOOD DR |
City | MERCED |
State | CA |
Zip Code | 95348-1210 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295997419 | Olive Tree Wellness Center, Inc | Family Medicine | 1146 Olivewood Dr, Merced, CA 95348-1210 | 2008-06-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063031649 | Sydney Towle | Counselor | 3360 N Hwy 59 Suite K, Merced, CA 95348 | 2020-04-13 |
1972147544 | Aaliyah Belt | Behavior Technician | 2808 Park Ave, Suite A, Merced, CA 95348 | 2019-11-06 |
1922566025 | Michelle Chao Lee | Case Manager/Care Coordinator | 3360 North Hwy 59 Suite K, Merced, CA 95348 | 2019-03-07 |
1760952246 | Noemi Diaz | Counselor | 3360 North Hwy.59 Suite K, Merced, CA 95348 | 2018-11-28 |
1518451632 | Kenneth Tiea Pay | Pharmacist | 767 Ironstone Dr, Merced, CA 95348 | 2018-06-21 |
1295223444 | Andraya Diane Plascencia | Behavior Technician | 335 M St, Merced, CA 95348 | 2018-04-24 |
1801398839 | Elisabet Pulido | Case Manager/Care Coordinator | 3360 N State Hwy 59, K, Merced, CA 95348 | 2018-03-06 |
1184126674 | Carolina Rosales | Behavior Technician | 3335 M St., Merced, CA 95348 | 2018-03-01 |
1659897957 | Melody Vega | Social Worker | 3195 M Street, Merced, CA 95348 | 2017-08-17 |
1942739305 | Salvador Tinoco Jaramillo | Marriage & Family Therapist | 3360 N Highway 59 Suite K, Merced, CA 95348 | 2017-06-08 |
Find all providers in zip 95348 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366844862 | Navin Gogna Luthra | Family Medicine | 374 W. Olive Avenue, Suite A, Merced, CA 95348-5768 | 2014-09-16 |
1215298054 | Leila Boubshait | Family Medicine | 4218 Berryesa Ave, Merced, CA 95348-8557 | 2012-06-07 |
1568752152 | Jacqueline Craig | Family Medicine | 3349 G St Ste C, Merced, CA 95340-0978 | 2011-04-15 |
1538458591 | Noshaba Roohi Chughtai | Family Medicine | 378 W Olive Ave Ste A, Merced, CA 95348-3182 | 2011-03-30 |
1972801249 | James Michael Raveret | Family Medicine | 3020 N. Rambler Rd., Merced, CA 95348-3223 | 2011-03-10 |
1205134111 | Theresa T Chang | Family Medicine | 315 Mercy Ave Ste 301, Merced, CA 95340-8367 | 2011-03-02 |
1518119510 | Daniel Brent Leong | Family Medicine | 1573 Esplanade Dr, Merced, CA 95348-9623 | 2008-10-21 |
1518167238 | Merced Faculty Associates Medical Group Incorporated | Family Medicine | 378 W Olive Ave Ste B, Merced, CA 95348-3137 | 2007-07-20 |
1619176245 | Merced Faculty Associates Medical Group Incorporated | Family Medicine | 374 W Olive Ave Ste B, Merced, CA 95348-3137 | 2007-07-13 |
1932240710 | Anupam Khandelwal | Family Medicine | 847 West Childs Avenue, Merced, CA 95340 | 2007-02-12 |
Find all providers in MERCED |
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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.