Guadalupe Elizondo (NPI# 1184727497, PAC ID# 6507051117) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1184727497 |
| PAC ID by PECOS | 6507051117 |
| Professional Enrollment ID | I20101109000856 |
| Full Name | Guadalupe Elizondo |
| Organization Legal Name | LA CLINICA DE LA RAZA INC |
| Address |
2021 Main St Oakley CA 94561-3302 |
| Phone Number | 9257768200 |
| Gender | F |
| Medical School | STANFORD UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1557258282 |
| Number of Group Practice Members | 67 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1030 International Blvd, Oakland, CA 94606-3730 | 5102385400 | LA CLINICA DE LA RAZA INC |
| 2021 Main St, Oakley, CA 94561-3302 | 9257768200 | 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 |
| 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 |
| Alireza Rezapour | Internal Medicine | La Clinica De La Raza Inc | 2000 Sierra Rd, Concord, CA 94518-2905 |
| Street Address |
2021 MAIN ST |
| City | OAKLEY |
| State | CA |
| Zip | 94561-3302 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristin B Mattingly | Chiropractic | 3478 Main St, Oakley, CA 94561-3137 |
| City | OAKLEY |
| Zip Code | 94561 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | OAKLEY + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Guadalupe Elizondo.
| 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.