Brandi Beresford, NP | |
425 E Foothill Blvd, Rialto, CA 92376-5153 | |
(909) 546-1050 | |
(909) 546-1061 |
Full Name | Brandi Beresford |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Obstetrics & Gynecology |
Location | 425 E Foothill Blvd, Rialto, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265780332 | NPI | - | NPPES |
641677 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | 21324 (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 | Southern California Permanente Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Mailing Address | Practice Location Address |
---|---|
Brandi Beresford, NP 9961 Sierra Ave, Fontana, CA 92335-6720 Ph: (909) 427-5000 | Brandi Beresford, NP 425 E Foothill Blvd, Rialto, CA 92376-5153 Ph: (909) 546-1050 |
Mr. Jesus Omar Valenzuela, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 436 S Riverside Ave, Rialto, CA 92376 Phone: 909-877-8868 | |
Susan Suen, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 416 W Foothill Blvd, Rialto, CA 92376 Phone: 909-421-0493 | |
Terrye Annette Anderson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1180 N Glenwood Ave, Rialto, Rialto, CA 92376 Phone: 909-874-6899 | |
Ms. Li Watkins, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 280 N Riverside Avenue, Rialto, CA 92376 Phone: 909-421-2121 Fax: 909-421-0491 | |
Mrs. Roxanna Jacqueline Lucero, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6662 Yucca Ave, Rialto, CA 92376 Phone: 909-877-3746 Fax: 909-820-6465 | |
Amanda Vo, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 425 E Foothill Blvd, Rialto, CA 92376 Phone: 909-546-1050 Fax: 909-546-1061 | |
Jeremy James Neuner, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1851 N Riverside Ave, Rialto, CA 92376 Phone: 909-421-2700 |