Lane C Melgarejo (NPI# 1588657308, PAC ID# 2163488842) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1588657308 |
| PAC ID by PECOS | 2163488842 |
| Professional Enrollment ID | I20041203000927 |
| Full Name | Lane C Melgarejo |
| Organization Legal Name | LA CLINICA DE LA RAZA INC |
| Address |
243 Georgia St B Vallejo CA 94590-5905 |
| Phone Number | 7075568100 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1979 |
| Primary Specialty | GENERAL PRACTICE |
| Secondary Specialties | PATHOLOGY |
| Group Practice PAC ID | 1557258282 |
| Number of Group Practice Members | 91 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050101 | SUTTER SOLANO MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2100 Napa Vallejo Hwy, Napa, CA 94558-6234 | 9166518811 | DEPARTMENT OF STATE HOSPITALS |
| 243 Georgia St B, Vallejo, CA 94590-5905 | 7075568100 | LA CLINICA DE LA RAZA INC |
| Organization Legal Name | LA CLINICA DE LA RAZA INC |
| Physicians | 107 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Catherine Heckert | Nurse Practitioner | La Clinica De La Raza Inc | 220 Hospital Dr, Vallejo, CA 94589-2517 |
| Subathra Murugaiah | Family Medicine | La Clinica De La Raza Inc | 243 Georgia St B, Vallejo, CA 94590-5905 |
| Jennifer Westerman | Nurse Practitioner | La Clinica De La Raza Inc | 2240 Gladstone Dr, Suite 4, Pittsburg, CA 94565-5126 |
| Maria Catalina Cuervo | Family Medicine | La Clinica De La Raza Inc | 1515 Fruitvale Ave, Oakland, CA 94601-2322 |
| Ken Marriner | Family Medicine | La Clinica De La Raza Inc | 3451 E 12th St, Oakland, CA 94601-3463 |
| Harpreet Kaur | Nurse Practitioner | La Clinica De La Raza Inc | 2000 Sierra Rd, Concord, CA 94518-2905 |
| Monique Nguyen | Optometry | La Clinica De La Raza Inc | 3060 E 9th St B, Oakland, CA 94601-2925 |
| Guadalupe Elizondo | Physician Assistant | La Clinica De La Raza Inc | 2021 Main St, Oakley, CA 94561-3302 |
| Lisa Renee Montang | Family Medicine | La Clinica De La Raza Inc | 1030 International Blvd, Oakland, CA 94606-3730 |
| Jody L Daudel | Obstetrics/gynecology | La Clinica De La Raza Inc | 210 Hospital Dr, Vallejo, CA 94589-2517 |
| Street Address |
243 GEORGIA ST B |
| City | VALLEJO |
| State | CA |
| Zip | 94590-5905 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Subathra Murugaiah | Family Medicine | La Clinica De La Raza Inc | 243 Georgia St B, Vallejo, CA 94590-5905 |
| Wasfa Jabeen Jahangiri | Family Medicine | La Clinica De La Raza Inc | 243 Georgia St B, Vallejo, CA 94590-5905 |
| Naomi J Rapport | Internal Medicine | La Clinica De La Raza Inc | 243 Georgia St B, Vallejo, CA 94590-5905 |
| Mereb K Habtetsion | Physician Assistant | La Clinica De La Raza Inc | 243 Georgia St B, Vallejo, CA 94590-5905 |
| Christina Loeliger | Nurse Practitioner | La Clinica De La Raza Inc | 243 Georgia St B, Vallejo, CA 94590-5905 |
| Maryna Vityuk | Family Medicine | La Clinica De La Raza Inc | 243 Georgia St B, Vallejo, CA 94590-5905 |
| Luz Maria Hernandez | Nurse Practitioner | La Clinica De La Raza Inc | 243 Georgia St B, Vallejo, CA 94590-5905 |
| Victoria Elizabeth Owens | Nurse Practitioner | La Clinica De La Raza Inc | 243 Georgia St B, Vallejo, CA 94590-5905 |
| Karla Bailey | Nurse Practitioner | La Clinica De La Raza Inc | 243 Georgia St B, Vallejo, CA 94590-5905 |
| Andrew E Oneall | Psychologist, Clinical | La Clinica De La Raza Inc | 243 Georgia St B, Vallejo, CA 94590-5905 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia C Lim | General Practice | Concepcion and Lim Md Family Practice PC | 1646 Broadway St, Vallejo, CA 94590-2405 |
| Steve Lim | Family Medicine | Concepcion and Lim Md Family Practice PC | 1646 Broadway St, Vallejo, CA 94590-2405 |
| Sandy E Cortez | Registered Dietitian Or Nutrition Professional | 1646 Broadway St, Vallejo, CA 94590-2405 | |
| Darlene T Okura | Optometry | 3505 Sonoma Blvd, Suite 30, Vallejo, CA 94590-2920 | |
| John Geisse | Dermatology | Solano Dermatology Associates Inc | 2290 Sacramento St, Vallejo, CA 94590-2929 |
| Kyle J Goleno | Physician Assistant | Solano Dermatology Associates Inc | 2290 Sacramento St, Vallejo, CA 94590-2929 |
| Bashar Joseph Amso | Chiropractic | 1045 Redwood St, Vallejo, CA 94590-2956 | |
| Ryan Christian Thomas | Podiatry | Vallejo Foot and Ankle Clinic | 480 Redwood St, Suite 10, Vallejo, CA 94590-2958 |
| Paul David Weiner | Podiatry | Vallejo Foot and Ankle Clinic | 480 Redwood St, Suite 10, Vallejo, CA 94590-2958 |
| Ronald G Bieselin | General Surgery | 480 Redwood St, Suite 14, Vallejo, CA 94590-2958 | |
| Find all physicians in zip 94590 | |||
| City | VALLEJO |
| Zip Code | 94590 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | VALLEJO + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Lane C Melgarejo.
| 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.