Bassam Aziz, FNP-BC | |
1350 W Covina Blvd, San Dimas, CA 91773-3245 | |
(310) 592-7149 | |
Not Available |
Full Name | Bassam Aziz |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 1350 W Covina Blvd, San Dimas, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518664879 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | NP95023263 (California) | Primary |
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 |
Entity Name | Healthcare Partners Affiliates Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659312593 PECOS PAC ID: 7315842002 Enrollment ID: O20031204001258 |
Entity Name | Medison Corp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760050587 PECOS PAC ID: 6103229000 Enrollment ID: O20210729003556 |
Mailing Address | Practice Location Address |
---|---|
Bassam Aziz, FNP-BC 628 E Allen Ave, San Dimas, CA 91773-1525 Ph: (310) 592-7149 | Bassam Aziz, FNP-BC 1350 W Covina Blvd, San Dimas, CA 91773-3245 Ph: (310) 592-7149 |
Karen Renee Manson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1305 W Arrow Hwy Ste 106, San Dimas, CA 91773 Phone: 909-592-9246 Fax: 909-592-9248 | |
Gia Han Ngoc Nguyen, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1330 W Covina Blvd Ste 105106, San Dimas, CA 91773 Phone: 626-963-7675 | |
Lana Madanat, MSN, RN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1330 W Covina Blvd Ste 106, San Dimas, CA 91773 Phone: 909-599-6876 | |
Rachel Christensen, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 667 W Arrow Hwy Ste E, San Dimas, CA 91773 Phone: 909-971-9888 | |
Miss Maki Kusunaga, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 W Covina Blvd, San Dimas, CA 91773 Phone: 909-592-6411 Fax: 909-971-5841 | |
Ashley M Blayton, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1330 W Covina Blvd Ste 106, San Dimas, CA 91773 Phone: 909-599-6876 |