Jake H Ichino (NPI# 1033136932, PAC ID# 6204936073) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL CARDIOLOGY.
| Nation Provider ID (NPI) | 1033136932 |
| PAC ID by PECOS | 6204936073 |
| Professional Enrollment ID | I20070709000380 |
| Full Name | Jake H Ichino |
| Organization Legal Name | COMMUNITY CARE SERVICES LLC |
| Address |
801 E Williams Ave Fallon NV 89406-3052 |
| Phone Number | 7758677706 |
| Gender | M |
| Medical School | UNIVERSITY OF NEVADA SCHOOL OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | INTERVENTIONAL CARDIOLOGY |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE |
| Group Practice PAC ID | 1951324318 |
| Number of Group Practice Members | 326 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 290001 | RENOWN REGIONAL MEDICAL CENTER |
| 290049 | RENOWN SOUTH MEADOWS MEDICAL CENTER |
| 291313 | BANNER CHURCHILL COMMUNITY HOSPITAL |
| 291306 | CARSON VALLEY MEDICAL CENTER |
| 290019 | CARSON TAHOE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 801 E Williams Ave, Fallon, NV 89406-3052 | 7758677706 | COMMUNITY CARE SERVICES LLC |
| 1500 E 2nd St, Suite 400, Reno, NV 89502-1198 | 7759822400 | COMMUNITY CARE SERVICES LLC |
| Organization Legal Name | COMMUNITY CARE SERVICES LLC |
| Physicians | 302 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jayla Beth Gray | Dermatology | Community Care Services LLC | 6536 S Mccarran Blvd, Suite B, Reno, NV 89509-6152 |
| Julie Hilario | Nurse Practitioner | Community Care Services LLC | 75 Pringle Way, Suite 401, Reno, NV 89502-1476 |
| Theresa Dambrosio Ineck | Physician Assistant | Community Care Services LLC | 10101 Double R Blvd, Reno, NV 89521-5931 |
| Yizhou Ernst | Obstetrics/gynecology | Community Care Services LLC | 901 E 2nd St, Suite 307, Reno, NV 89502-1178 |
| Kathleen Ann Patterson | Nurse Practitioner | Community Care Services LLC | 560 E Williams Ave, Fallon, NV 89406-3031 |
| Kristen Marie Marshall | Internal Medicine | Community Care Services LLC | 21 Locust St, Reno, NV 89502-1316 |
| Carolyn Renee Dennehey | Rheumatology | Community Care Services LLC | 80 Giroux St, Suite 101, Reno, NV 89502-1285 |
| Ashlee A Tinseth | Nurse Practitioner | Community Care Services LLC | 1343 Newlands Dr W, Fernley, NV 89408-8926 |
| Mellyn A Johnson | Nurse Practitioner | Community Care Services LLC | 1500 E 2nd St, Suite 100, Reno, NV 89502-1189 |
| Emelita D Liwanag | Family Practice | Community Care Services LLC | 1835 Oddie Blvd, Sparks, NV 89431-3559 |
| Street Address |
801 E WILLIAMS AVE |
| City | FALLON |
| State | NV |
| Zip | 89406-3052 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen Rodeffer-evans | Obstetrics/gynecology | Banner Churchill Community Hospital | 801 E Williams Ave, Fallon, NV 89406-3052 |
| Mark E Mueller | Emergency Medicine | Team Physicians of Nevada-mandavia PC | 801 E Williams Ave, Fallon, NV 89406-2797 |
| Trevor T Phan | Internal Medicine | 801 E Williams Ave, Fallon, NV 89406-3052 | |
| Lillian M Morton | Nurse Practitioner | Community Care Services LLC | 801 E Williams Ave, Fallon, NV 89406-3052 |
| Roland N Chen | Urology | Carson Urologists Ltd | 801 E Williams Ave, Suite 3310, Fallon, NV 89406-3052 |
| Poonam P Jani | Internal Medicine | Banner Churchill Community Hospital | 801 E Williams Ave, Fallon, NV 89406-3052 |
| Thomas-duythuc Ngoc To | Cardiovascular Disease (cardiology) | Community Care Services LLC | 801 E Williams Ave, Fallon, NV 89406-3052 |
| Timothy M Costa | Internal Medicine | Banner Churchill Community Hospital | 801 E Williams Ave, Fallon, NV 89406-3052 |
| Christa A Robinson | Physician Assistant | Banner Churchill Community Hospital | 801 E Williams Ave, Fallon, NV 89406-3052 |
| Mary Jane Bovo | Obstetrics/gynecology | Banner Churchill Community Hospital | 801 E Williams Ave, Fallon, NV 89406-3052 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin L Heath | Family Medicine | 50 Commercial Way, Fallon, NV 89406-2600 | |
| Rodney D Stewart | Physical Therapy | 2180 Reno Hwy, Fallon, NV 89406-2629 | |
| Steven Edward Louie | Physical Therapy | 1680 W Williams Ave, Fallon, NV 89406-2644 | |
| Gary C Ridenour | Internal Medicine | 2152 Reno Hwy, Suite I, Fallon, NV 89406-2692 | |
| Derek Christopher Braddix | Nurse Practitioner | Gary C Ridenour Md A Prof Corp | 2152 Reno Hwy, Suite I, Fallon, NV 89406-2692 |
| David B Chaffin | Ophthalmology | David B Chaffin Md PC | 65 N Taylor St, Fallon, NV 89406-2750 |
| Gregory Koenig | Optometry | Robertson and Koenig Ltd | 65 N Taylor St, Fallon, NV 89406-2750 |
| Carl D Robertson | Optometry | Robertson and Koenig Ltd | 65 N Taylor St, Fallon, NV 89406-2750 |
| Steve H Chang | Ophthalmology | David B Chaffin Md PC | 65 N Taylor St, Fallon, NV 89406-2750 |
| Ja-lynn Kuo | Emergency Medicine | Team Physicians of Nevada-mandavia PC | 801 E Williams Ave, Fallon, NV 89406-2797 |
| Find all physicians in zip 89406 | |||
| City | FALLON |
| Zip Code | 89406 |
| Specialty | INTERVENTIONAL CARDIOLOGY |
| City + Specialty | FALLON + INTERVENTIONAL CARDIOLOGY |
Please comment or provide details below to improve the information on Jake H Ichino.
| 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.