Sandra Quattlebaum (NPI# 1679524763, PAC ID# 6901886811) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1679524763 |
| PAC ID by PECOS | 6901886811 |
| Professional Enrollment ID | I20040721001643 |
| Full Name | Sandra Quattlebaum |
| Organization Legal Name | ACUTE CARE SURGERY MEDICAL GROUP INC |
| Address |
6501 Coyle Ave Carmichael CA 95608-0306 |
| Phone Number | 9165375000 |
| Gender | F |
| Credential | NP |
| Graduation Year | 1998 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7214006816 |
| Number of Group Practice Members | 85 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050516 | MERCY SAN JUAN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 6501 Coyle Ave, Carmichael, CA 95608-0306 | 9165375000 | ACUTE CARE SURGERY MEDICAL GROUP INC |
| Organization Legal Name | ACUTE CARE SURGERY MEDICAL GROUP INC |
| Physicians | 68 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danielle B Cummings | Physician Assistant | Acute Care Surgery Medical Group Inc | 460 Gidney Ave, Newburgh, NY 12550-3117 |
| Richard Addison Kline | General Surgery | Acute Care Surgery Medical Group Inc | 150 N Jackson Ave, Suite 100, San Jose, CA 95116-1908 |
| Andrew Bayci | General Surgery | Acute Care Surgery Medical Group Inc | 416 Connable Ave, Petoskey, MI 49770-2212 |
| Leon M Simms | Physician Assistant | Acute Care Surgery Medical Group Inc | 6555 Coyle Ave, Suite 220, Carmichael, CA 95608-0303 |
| Derrick Pratte Olzack | Physician Assistant | Acute Care Surgery Medical Group Inc | 50 N Perry St, Pontiac, MI 48342-2217 |
| Jason David Pasley | General Surgery | Acute Care Surgery Medical Group Inc | 50 N Perry St, Mclaren Oakland, Pontiac, MI 48342-2217 |
| Amir A Amiri | General Surgery | Acute Care Surgery Medical Group Inc | 726 4th St, Marysville, CA 95901-5656 |
| Kelly D Gonzales | General Surgery | Acute Care Surgery Medical Group Inc | 225 N Jackson Ave, San Jose, CA 95116-1603 |
| Thomas V Robb | General Surgery | Acute Care Surgery Medical Group Inc | 19 Laurel Ave, Cornwall, NY 12518-1403 |
| Theresa Zogakis | General Surgery | Acute Care Surgery Medical Group Inc | 726 4th St, Marysville, CA 95901-5656 |
| Street Address |
6501 COYLE AVE |
| City | CARMICHAEL |
| State | CA |
| Zip | 95608-0306 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia S Gee | Emergency Medicine | Cep America - California | 6501 Coyle Ave, Carmichael, CA 95608-0306 |
| Christine Lori Rongey | Pathology | Lucent Pathology Partners Inc | 6501 Coyle Ave, Carmichael, CA 95608-0306 |
| Matthew Lopez | Emergency Medicine | Cep America - California | 6501 Coyle Ave, Carmichael, CA 95608-0306 |
| Costanzo Diperna | Thoracic Surgery | Dignity Health Medical Foundation | 6501 Coyle Ave, Carmichael, CA 95608-0306 |
| Dakane A Billow | Hospitalist | Dignity Health Medical Foundation | 6501 Coyle Ave, Carmichael, CA 95608-0306 |
| Ridgley F Wong | Anesthesiology | Metropolitan Anesthesia Consultants, Inc | 6501 Coyle Ave, Carmichael, CA 95608-0306 |
| Alex C Nee | Critical Care (intensivists) | Dignity Health Medical Foundation | 6501 Coyle Ave, Carmichael, CA 95608-0306 |
| Nathan Silvestri | Emergency Medicine | Cep America - California | 6501 Coyle Ave, Carmichael, CA 95608-0306 |
| Stephen R Beckwith | Emergency Medicine | Cep America - California | 6501 Coyle Ave, Carmichael, CA 95608-0306 |
| Frank Norman Slachman | Cardiac Surgery | Dignity Health Medical Foundation | 6501 Coyle Ave, Carmichael, CA 95608-0306 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sultan Sultan | Internal Medicine | 6500 Coyle Ave, Suite 4, Carmichael, CA 95608-0301 | |
| Raquel Rose Livoni | Family Medicine | 6500 Coyle Ave, Suite 5, Carmichael, CA 95608-0301 | |
| Lou Nishimura | Internal Medicine | 6500 Coyle Ave, Suite 1, Carmichael, CA 95608-0301 | |
| Vu D Truong | Diagnostic Radiology | Dignity Health Medical Foundation | 6555 Coyle Ave, Carmichael, CA 95608-0302 |
| Dennis J Lee | Urology | Dignity Health Medical Foundation | 6555 Coyle Ave, Carmichael, CA 95608-0302 |
| Nuzhat S Majid | Family Medicine | Dignity Health Medical Foundation | 6555 Coyle Ave, Suite 280, Carmichael, CA 95608-0302 |
| Amardeep S Bhatia | Radiation Oncology | Dignity Health Medical Foundation | 6555 Coyle Ave, Carmichael, CA 95608-0302 |
| Sina Dadfarmay | Internal Medicine | Dignity Health Medical Foundation | 6555 Coyle Ave, Suite 280, Carmichael, CA 95608-0302 |
| Shaun P Rafael | Psychiatry | Dignity Health Medical Foundation | 6555 Coyle Ave, Suite 280, Carmichael, CA 95608-0302 |
| Sabeen T Lulu | Neurology | Dignity Health Medical Foundation | 6555 Coyle Ave, Suite 390, Carmichael, CA 95608-0302 |
| Find all physicians in zip 95608 | |||
| City | CARMICHAEL |
| Zip Code | 95608 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CARMICHAEL + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Sandra Quattlebaum.
| 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.