Augusto F Banayat, FNP | |
1700 N Waterman Ave, San Bernardino, CA 92404-5115 | |
(909) 883-8611 | |
Not Available |
Full Name | Augusto F Banayat |
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Gender | Male |
Speciality | Nurse Practitioner |
Location | 1700 N Waterman Ave, San Bernardino, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831727700 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | NPF95013989 (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 |
Entity Name | Beaver Medical Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649503319 PECOS PAC ID: 0547164295 Enrollment ID: O20031124000449 |
Mailing Address | Practice Location Address |
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Augusto F Banayat, FNP 1700 N Waterman Ave, San Bernardino, CA 92404-5115 Ph: (909) 883-8611 | Augusto F Banayat, FNP 1700 N Waterman Ave, San Bernardino, CA 92404-5115 Ph: (909) 883-8611 |
Ms. Mariana Concepcion Moualem, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1800 Western Ave Ste 305, San Bernardino, CA 92411 Phone: 909-880-9993 Fax: 909-880-9998 | |
Brenda Jean Boyle, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1455 East 3rd Street, San Bernardino, CA 92410 Phone: 909-382-7100 Fax: 909-382-7103 | |
Mrs. Jocelyn Ellen Seitz-keough, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1998 N Arrowhead Ave, San Bernardino, CA 92405 Phone: 909-882-0988 | |
Laura Elise Hiday, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Childrens Assessment Ctr, 700 E Gilbert St, San Bernardino, CA 92415 Phone: 909-382-3535 | |
Laura Andrews, NURSE PRACTIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 598 N F St, San Bernardino, CA 92410 Phone: 909-888-8152 Fax: 909-884-7530 | |
Ms. Dawn Michelle Downs, MSN, FNP-BC, RN, CCR Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18592 Cajon Blvd, San Bernardino, CA 92407 Phone: 951-283-9861 | |
Saul Ramirez, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1800 Western Ave Ste 401, San Bernardino, CA 92411 Phone: 909-880-3677 |