Nicole Roberts Deppe, MD | |
1900 E 4th St, Santa Ana, CA 92705-3962 | |
(888) 988-2800 | |
Not Available |
Full Name | Nicole Roberts Deppe |
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Gender | Female |
Speciality | Family Medicine |
Location | 1900 E 4th St, Santa Ana, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962814947 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 140202 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
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Nicole Roberts Deppe, MD 1900 E 4th St, Santa Ana, CA 92705-3962 Ph: (888) 988-2800 | Nicole Roberts Deppe, MD 1900 E 4th St, Santa Ana, CA 92705-3962 Ph: (888) 988-2800 |
Dr. Rhett Mark Bartolome, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1900 E 4th St, Santa Ana, CA 92705 Phone: 714-967-4675 | |
Antonio Carbayo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1911 N Broadway, Santa Ana, CA 92706 Phone: 714-667-6900 Fax: 714-667-6116 | |
Dr. Darrel E Hopkins, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 720 N. Tustin Ave, Suite 200, Santa Ana, CA 92705 Phone: 714-689-9061 Fax: 714-689-9064 | |
Dr. Luis Manuel Sandoval, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1900 E 4th St, 2nd Floor, Santa Ana, CA 92705 Phone: 714-223-4589 Fax: 714-967-4575 | |
Dr. Judith Miriam Friedland, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1725 W 17th St, Santa Ana, CA 92706 Phone: 714-834-8017 | |
Michael Davis, Family Medicine Medicare: Medicare Enrolled Practice Location: 2720 S Bristol St Ste 110, Santa Ana, CA 92704 Phone: 888-499-9303 | |
Dr. Pat T Kouwabunpat, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1610 W Edinger Ave, Suite B, Santa Ana, CA 92704 Phone: 714-641-1610 Fax: 714-641-1146 |