Ana Jasmin Perdomo, | |
4815 Watt Ave, North Highlands, CA 95660-5108 | |
(916) 454-2345 | |
Not Available |
Full Name | Ana Jasmin Perdomo |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 4815 Watt Ave, North Highlands, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972229854 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 95022990 (California) | Primary |
Entity Name | Molina Healthcare Of California |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194811760 PECOS PAC ID: 7517957608 Enrollment ID: O20061101000348 |
Entity Name | Elica Health Centers |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548425853 PECOS PAC ID: 4385706845 Enrollment ID: O20090818000598 |
Mailing Address | Practice Location Address |
---|---|
Ana Jasmin Perdomo, 1860 Howe Ave Ste 440, Sacramento, CA 95825-1098 Ph: (916) 569-8484 | Ana Jasmin Perdomo, 4815 Watt Ave, North Highlands, CA 95660-5108 Ph: (916) 454-2345 |
Mrs. Suzanne Smith Auchterlonie, FNP, RNC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5700 Watt Ave, North Highlands, CA 95660 Phone: 916-332-5715 Fax: 916-332-1849 | |
Donna Jean Bishop, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5700 Watt Ave, North Highlands, CA 95660 Phone: 916-332-5715 | |
Jessica Rene Bergman, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5700 Watt Ave, North Highlands, CA 95660 Phone: 916-332-5715 | |
Erika Nicole Ward, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6015 Watt Ave Ste 2, North Highlands, CA 95660 Phone: 916-737-5555 | |
Judith A. Linder, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5700 Watt Ave, North Highlands, CA 95660 Phone: 916-332-5715 Fax: 916-332-1849 | |
Rhea Cualing, APRN-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4815 Watt Ave, North Highlands, CA 95660 Phone: 916-569-8484 | |
Mrs. Natali Sokolovski, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4815 Watt Ave, North Highlands, CA 95660 Phone: 916-454-2345 |