Surprise Valley Health Care District
A Medicare group practice based in Cedarville, CA: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 1658368519), with 11 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 1658368519
- Provider type
- Part A Provider - Critical Access Hospital, Part A Provider - Rural Health Clinic, Part A Provider - Skilled Nursing Facility, Part B Supplier - Clinic/Group Practice
- Enrolled in
- CA
- Enrollments
- 4
- Group size
- 7 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 4
Enrollment records 4
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20061104000300 | CA | Part A Provider - Critical Access Hospital | 1801973052 |
| O20050407000864 | CA | Part B Supplier - Clinic/Group Practice | 1801973052 |
| O20170215001627 | CA | Part A Provider - Skilled Nursing Facility | 1023194222 |
| O20100716000205 | CA | Part A Provider - Rural Health Clinic | 1073693651 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Surprise Valley Health Care District
- Medicare Defined Swing Bed Hospital Unit
- Cedarville, CA
- NPI 1023194222
-
Surprise Valley Health Care District
- Rural Health Clinic/Center
- Cedarville, CA
- NPI 1073693651
-
Surprise Valley Health Care District
- Critical Access Hospital
- Cedarville, CA
- NPI 1801973052
Practice locations
- Cedarville, CA4
Clinicians 11
Clinicians who reassign their Medicare benefits to this group (10) or whom Care Compare lists as members (7).
-
Chuck R Colas, DO
- General Practice Physician
- Lewiston, ID
- NPI 1831204288
-
Daniel J Cooper, DO
- Family Medicine Physician
- Stockton, CA
- NPI 1790770022
-
Valerie Shephard Dickerson, M.D.
- Family Medicine Physician
- Minden, NV
- NPI 1366476392
-
Gary Boyd Haffner, MD
- Hospitalist Physician
- Ft. Bidwell, CA
- NPI 1407950710
-
George Kent Kibler, MD
- Family Medicine Physician
- Lone Pine, CA
- NPI 1184657637
-
Robert Sexton Kollen, M.D
- Emergency Medicine Physician
- Colton, CA
- NPI 1073554531
-
Thomas J. Lambert, M.D.
- Emergency Medicine Physician
- Van Nuys, CA
- NPI 1285672550
-
Chelsea Pearson, PA
- Physician Assistant
- Alturas, CA
- NPI 1801221635
-
Zachary B Self, M.D.
- Family Medicine Physician
- Memphis, TN
- NPI 1639326010
-
Karina Shulman, M.D.
- Psychiatry Physician
- Granada Hills, CA
- NPI 1275631681
-
William Daniel Trusnovic Jr., M.D.
- General Practice Physician
- Washington, PA
- NPI 1407105695
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.