Jose Basaldua, | |
2716 Freedom Blvd, Watsonville, CA 95076-1027 | |
(831) 688-5300 | |
Not Available |
Full Name | Jose Basaldua |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 2716 Freedom Blvd, Watsonville, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588931935 | NPI | - | NPPES |
ZZZ91892Z | Other | SANTA CRUZ COUNTY MEDICARE GROUP PTAN# |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Oak Street Health Physicians Group Of New Mexico Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134793151 PECOS PAC ID: 4981001096 Enrollment ID: O20210916000169 |
Mailing Address | Practice Location Address |
---|---|
Jose Basaldua, 2716 Freedom Blvd, Watsonville, CA 95076-1027 Ph: () - | Jose Basaldua, 2716 Freedom Blvd, Watsonville, CA 95076-1027 Ph: (831) 688-5300 |
Roberto Zamora, Counselor Medicare: Not Enrolled in Medicare Practice Location: 360 Whiskey Hill Rd, Watsonville, CA 95076 Phone: 831-840-2259 | |
Michael Gong, Counselor Medicare: Not Enrolled in Medicare Practice Location: 335 E Lake Ave, Watsonville, CA 95076 Phone: 831-728-6445 Fax: 831-761-6011 | |
Kristine Hansen, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 411 E Lake Ave, Watsonville, CA 95076 Phone: 831-728-6445 | |
Lizbeth Tapia Cerriteno, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2716 Freedom Blvd, Watsonville, CA 95076 Phone: 831-688-6293 | |
Jane Kim, Counselor Medicare: Not Enrolled in Medicare Practice Location: 335 E Lake Ave, Watsonville, CA 95076 Phone: 831-728-6445 Fax: 831-761-6011 | |
Richard Gonzales, Counselor Medicare: Not Enrolled in Medicare Practice Location: 360 Whiskey Hill Rd, Watsonville, CA 95076 Phone: 831-724-9333 | |
Sacha Whedon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 102 Wheelock Rd, Watsonville, CA 95076 Phone: 831-768-0941 |