Mrs Jazel Ruivivar Sambo, NP is a medicare enrolled "Nurse Practitioner" physician in Carlsbad, California. Her current practice location is
2510 El Camino Real, Carlsbad, California. You can reach out to her office (for appointments etc.) via phone at
(760) 729-8941.
Mrs Jazel Ruivivar Sambo is licensed to practice in California (license number NP95012694) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1043860844.
Physician's Profile
| Full Name | Mrs Jazel Ruivivar Sambo |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 2510 El Camino Real, Carlsbad, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Jazel Ruivivar Sambo attended and graduated from in
NPI Data:
- NPI Number: 1043860844
- Provider Enumeration Date: 09/13/2019
- Last Update Date: 01/25/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mrs Jazel Ruivivar Sambo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043860844 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 95012694 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 95012694 (California) | Secondary |
| 363L00000X | Nurse Practitioner | NP95012694 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jazel Ruivivar Sambo is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Jazel Ruivivar Sambo, NP
Po Box 232410,
San Diego, CA 92193-2410
Ph: () - | Mrs Jazel Ruivivar Sambo, NP
2510 El Camino Real,
Carlsbad, CA 92008-1273
Ph: (760) 729-8941 |
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