Kelli Aleece Chase (NPI# 1316043698, PAC ID# 2264611292) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1316043698 |
| PAC ID by PECOS | 2264611292 |
| Professional Enrollment ID | I20110406000514 |
| Full Name | Kelli Aleece Chase |
| Organization Legal Name | AFFILIATED PATHOLOGISTS MEDICAL GROUP, INC. |
| Address |
15630 18th Ave Clearlake CA 95422-9336 |
| Phone Number | 7079946486 |
| Gender | F |
| Medical School | CREIGHTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 7315840535 |
| Number of Group Practice Members | 34 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050013 | ADVENTIST HEALTH ST HELENA |
| 051317 | ADVENTIST HEALTH CLEARLAKE |
| 050301 | ADVENTIST HEALTH UKIAH VALLEY |
| 051310 | ADVENTIST HEALTH HOWARD MEMORIAL |
| Address | Phone | Organization |
|---|---|---|
| 15630 18th Ave, Clearlake, CA 95422-9336 | 7079946486 | AFFILIATED PATHOLOGISTS MEDICAL GROUP, INC. |
| 275 Hospital Dr, Ukiah, CA 95482-4531 | 7074675211 | AFFILIATED PATHOLOGISTS MEDICAL GROUP, INC. |
| Organization Legal Name | AFFILIATED PATHOLOGISTS MEDICAL GROUP, INC. |
| Physicians | 38 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicolas Gallegos | Pathology | Affiliated Pathologists Medical Group, Inc. | 2374 E Pacifica Pl, Rancho Dominguez, CA 90220-6214 |
| Alfred M Yamamoto | Pathology | Affiliated Pathologists Medical Group, Inc. | 3700 E S St, Lakewood, CA 90805-4521 |
| Vivian Mendoza | Pathology | Affiliated Pathologists Medical Group, Inc. | 1680 E 120th St, Mlk Hospital, Los Angeles, CA 90059-3026 |
| Lindsay Zamis Dellamaggiora | Pathology | Affiliated Pathologists Medical Group, Inc. | 1225 Wilshire Blvd, Los Angeles, CA 90017-1901 |
| Jennifer F O Dell | Pathology | Affiliated Pathologists Medical Group, Inc. | 4101 Torrance Blvd, Torrance, CA 90503-4607 |
| Ronald W Slaughter | Pathology | Affiliated Pathologists Medical Group, Inc. | 10 Woodland Rd, Pathology Department, St Helena, CA 94574-9554 |
| Galen R Cortina | Pathology | Affiliated Pathologists Medical Group, Inc. | 1225 Wilshire Blvd, Los Angeles, CA 90017-1901 |
| Hany M Halawa | Pathology | Affiliated Pathologists Medical Group, Inc. | 2374 E Pacifica Pl, Rancho Dominguez, CA 90220-6214 |
| Georgia Liles Tunstill | Pathology | Affiliated Pathologists Medical Group, Inc. | 350 Terracina Blvd, Redlands, CA 92373-4850 |
| Scott W Binder | Pathology | Affiliated Pathologists Medical Group, Inc. | 2374 E Pacifica Pl, Rancho Dominguez, CA 90220-6214 |
| Street Address |
15630 18TH AVE |
| City | CLEARLAKE |
| State | CA |
| Zip | 95422-9336 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Geoffrey W Horn | Diagnostic Radiology | Adventist Health Clearlake Hospital Inc. | 15630 18th Ave, Clearlake, CA 95422-9336 |
| John E Rampulla | Emergency Medicine | Acute Medical Providers Inc | 15630 18th Ave, Clearlake, CA 95422-9336 |
| David D House | Family Medicine | Adventist Health Clearlake Hospital Inc. | 15630 18th Ave, Clearlake, CA 95422-9336 |
| David J Gonzales | Family Medicine | Rural Physicians Group PC | 15630 18th Ave, Clearlake, CA 95422-9336 |
| Dan L Field | Emergency Medicine | Acute Medical Providers Inc | 15630 18th Ave, Clearlake, CA 95422-9336 |
| Robert Howard Ford Ii | Certified Registered Nurse Anesthetist (crna) | Paramount Anesthesia Associates Inc | 15630 18th Ave, Clearlake, CA 95422-9336 |
| Hassan Sheikh Moghaddas | General Surgery | Adventist Health Clearlake Hospital Inc. | 15630 18th Ave, Clearlake, CA 95422-9336 |
| Brian Chang | Emergency Medicine | Acute Medical Providers Inc | 15630 18th Ave, Clearlake, CA 95422-9336 |
| Lou Veroljub Ivanovic | Cardiovascular Disease (cardiology) | Adventist Health Clearlake Hospital Inc. | 15630 18th Ave, Clearlake, CA 95422-9336 |
| Michael Reinberg | Emergency Medicine | Acute Medical Providers Inc | 15630 18th Ave, Clearlake, CA 95422-9336 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric E Kim | Internal Medicine | 4456 Manzanita Ave, C, Clearlake, CA 95422-7937 | |
| Raymond D Jennings | Internal Medicine | Adventist Health Physicians Network | 15230 Lakeshore Dr, Clearlake, CA 95422-8107 |
| Martin Paukert | Plastic and Reconstructive Surgery | Adventist Health Physicians Network | 15230 Lakeshore Dr, Clearlake, CA 95422-8107 |
| Christopher P Lombardo | Otolaryngology | Adventist Health Physicians Network | 15230 Lakeshore Dr, Clearlake, CA 95422-8107 |
| Michael Rudolph Cosenza | Podiatry | Adventist Health Physicians Network | 15230 Lakeshore Dr, Clearlake, CA 95422-8107 |
| Andrew B Chung | Ophthalmology | Adventist Health Physicians Network | 15230 Lakeshore Dr, Clearlake, CA 95422-8107 |
| Ian D Macagy | Obstetrics/gynecology | Adventist Health Physicians Network | 15230 Lakeshore Dr, Clearlake, CA 95422-8107 |
| Jenny L Senff | Nurse Practitioner | Adventist Health Physicians Network | 15230 Lakeshore Dr, Clearlake, CA 95422-8107 |
| Kimberly Fordham | Family Practice | Adventist Health Physicians Network | 15230 Lakeshore Dr, Clearlake, CA 95422-8107 |
| Joanne Rode | Physician Assistant | 7000 B S Ctr Dr, Unit A, Clearlake, CA 95422-8131 | |
| Find all physicians in zip 95422 | |||
| City | CLEARLAKE |
| Zip Code | 95422 |
| Specialty | PATHOLOGY |
| City + Specialty | CLEARLAKE + PATHOLOGY |
Please comment or provide details below to improve the information on Kelli Aleece Chase.
| 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.