Bonnie B Connor (NPI# 1801051768, PAC ID# 1557495835) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL PSYCHOLOGIST.
| Nation Provider ID (NPI) | 1801051768 |
| PAC ID by PECOS | 1557495835 |
| Professional Enrollment ID | I20100823000837 |
| Full Name | Bonnie B Connor |
| Address |
1712 Picasso Ave A Davis CA 95618-0546 |
| Phone Number | 5307501700 |
| Gender | F |
| Graduation Year | 2001 |
| Primary Specialty | CLINICAL PSYCHOLOGIST |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050599 | UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1712 Picasso Ave A, Davis, CA 95618-0546 | 5307501700 | |
| 4860 Y St, Sacramento, CA 95817-2307 | 8002823284 | REGENTS OF THE UNIV OF CA |
| Street Address |
1712 PICASSO AVE A |
| City | DAVIS |
| State | CA |
| Zip | 95618-0546 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ajay P Singh | Psychiatry | Mark David Levine Md Psychiatrists Professional Corporation | 1712 Picasso Ave D, Davis, CA 95618-0546 |
| Valerie Anne Durbin | Clinical Social Worker | 1712 Picasso Ave, Suite A, Davis, CA 95618-0546 | |
| Scarlett M Kroencke | Podiatry | 1712 Picasso Ave, Suite C, Davis, CA 95618-0546 | |
| Susanne Powell | Internal Medicine | Lawrence S Paikoff Md | 1756 Picasso Ave, Suite E, Davis, CA 95618-0549 |
| Lawrence S Paikoff | Internal Medicine | Lawrence S Paikoff Md | 1756 Picasso Ave, Suite E, Davis, CA 95618-0549 |
| Ursula Bergmooser | Physical Therapy | Physical Edge, Inc. | 1460 Drew Ave, Suite 200, Davis, CA 95618-4856 |
| Mathew W W Moore | Physical Therapy | Physical Edge, Inc. | 1460 Drew Ave, Suite 200, Davis, CA 95618-4856 |
| Daniel S Lebe | Physical Therapy | Physical Edge, Inc. | 1460 Drew Ave, Suite 200, Davis, CA 95618-4856 |
| Nicole E Nosek | Physical Therapy | Physical Edge, Inc. | 1460 Drew Ave, Suite 200, Davis, CA 95618-4856 |
| Dennis Thang Vo | Chiropractic | 1460 Drew Ave, Suite 200, Davis, CA 95618-4856 | |
| Find all physicians in zip 95618 | |||
| City | DAVIS |
| Zip Code | 95618 |
| Specialty | CLINICAL PSYCHOLOGIST |
| City + Specialty | DAVIS + CLINICAL PSYCHOLOGIST |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.