HEALTHWORKS MED GROUP OF CALIFORNIA A MEDICAL CORPORATION (NPI# 1619441128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619441128 |
| Entity Type | Organization |
| Organization Name | HEALTHWORKS MED GROUP OF CALIFORNIA A MEDICAL CORPORATION |
| Practice Address |
12222 New York Ranch Rd Jackson CA 95642-9407 |
| Mailing Address |
5500 Maryland Way Ste 200 Brentwood TN 37027-4973 |
| Practice Telephone | 2092238428 |
| Practice Fax Number | 2092238429 |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2019-01-17 |
| Authorized Official Name | DR. PETER VASQUEZ (PRESIDENT) |
| Authorized Official Telephone | 6154686248 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Jackson Rancheria Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134738032 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 2821 Scott Blvd Ste 2126, Santa Clara, CA 95050-2549 | 2020-07-27 |
| 1013543693 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 3600 Juliette Ln # Sr9-01, Santa Clara, CA 95054-1540 | 2020-03-16 |
| 1285277475 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 6121 Bollinger Canyon Rd, San Ramon, CA 94583-5287 | 2019-10-21 |
| 1619477718 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 40 Penny Ln Ste 4, Watsonville, CA 95076-6008 | 2018-02-15 |
| 1184124281 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 1414 S Miller St Ste 3, Santa Maria, CA 93454-6916 | 2018-02-15 |
| 1912426032 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 1111 Lockheed Martin Way Bldg 157, Sunnyvale, CA 94089-1212 | 2017-09-11 |
| 1831640473 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 77 Beale St, San Francisco, CA 94105-1814 | 2016-10-19 |
| 1023436599 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 3984 Indiana Ave, Perris, CA 92571-3154 | 2014-04-02 |
| 1841530037 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 573 Santa Rita Ave, Modesto, CA 95354-3756 | 2013-02-25 |
| 1457642548 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 3571 N 1st St Fl 2, San Jose, CA 95134-1803 | 2011-04-25 |
| Street Address |
12222 NEW YORK RANCH RD |
| City | JACKSON |
| State | CA |
| Zip Code | 95642-9407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093053688 | Healthstat On-site Clinic/jackson Rancheria Casino | Preventive Medicine | 12222 New York Ranch Rd, Jackson, CA 95642-9407 | 2013-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932666575 | Gold Country Health Initiative, LLC | Family Medicine | 820/830 State Highway 88, Jackson, CA 95642 | 2019-03-01 |
| 1053844902 | Kathryn Erosa | Pharmacist | 515 Highway 49 South, Jackson, CA 95642 | 2017-04-07 |
| 1356882039 | Thomas Alan Bowhay | Clinic/Center | 820 Highway 88, Jackson, CA 95642 | 2017-03-15 |
| 1710130141 | Roland E Womack | Dentist | 511 Sutter St, Jackson, CA 95642 | 2008-10-29 |
| 1508929522 | Stanley M Ordonez | Dentist | 645 New York Ranch Rd, Jackson, CA 95642 | 2006-12-19 |
| 1942374996 | Thomas W Zeiler | Chiropractor | 665 New York Ranch Rd Suite 2, Jackson, CA 95642 | 2006-11-20 |
| 1023188968 | Cordelia Rose Slayter | Physical Therapist | 711 S State Hwy 49, Jackson, CA 95642 | 2006-11-08 |
| 1285744946 | Raleys | Pharmacy | 781 South Highway 49, Jackson, CA 95642 | 2006-08-30 |
| 1316996747 | Robert R. Bussell X | Physical Therapist | 813 Court Street, Ste 2, Jackon, CA 95642 | 2006-05-10 |
| 1861953135 | Chelsea Yule Solutions | Clinic/Center | 230 N Main St, Jackson, CA 95642 | 2019-03-28 |
| Find all providers in zip 95642 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1063057024 | Hackensack Meridian Nutrition | Clinic/Center | 27 S Cooks Bridge Rd Ste 1-03, Jackson, NJ 08527-2460 | 2019-11-14 |
| 1629101829 | Victory Clinical Services IIi LLC | Clinic/Center | 3300 Lansing Ave, Jackson, MI 49202-1621 | 2007-03-14 |
| 1396979159 | Ihc Health Services Inc | Clinic/Center | 625 E Broadway, Jackson, WY 83001-0000 | 2009-05-08 |
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| 1982211843 | Crossover Health Medical Group | Clinic/Center | 5379 Hamner Ave Unit 801, Eastvale, CA 91752-1042 | 2020-09-24 |
| 1164039020 | Crossover Health Medical Group | Clinic/Center | 14329 Frederick St Ste 7-9, Moreno Valley, CA 92553-9003 | 2020-09-24 |
| 1104432673 | Aleracare Medical Group of California | Clinic/Center | 17777 Ventura Blvd Ste 220, Encino, CA 91316-3748 | 2020-09-21 |
| 1205447687 | Shawn Richard Oneill | Clinic/Center | 5979 Trotters Ln, Alta Loma, CA 91701-2644 | 2020-08-11 |
| 1134738032 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 2821 Scott Blvd Ste 2126, Santa Clara, CA 95050-2549 | 2020-07-27 |
| 1437767951 | Miro Health | Clinic/Center | 260 King St Unit 1505, San Francisco, CA 94107-6415 | 2020-07-21 |
| 1598383895 | Alacrity Patient Services, Inc. | Clinic/Center | 1002 N Hudson Ave Apt 1, Los Angeles, CA 90038-2595 | 2020-07-13 |
| 1306464979 | Aleracare Medical Group of California | Clinic/Center | 4849 Van Nuys Blvd Ste 220, Sherman Oaks, CA 91403-2155 | 2020-07-10 |
| 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.