Cathleen Vanessa Gutierrez Exconde-mercado, RN, NP | |
1620 E 2nd St Ste N, Beaumont, CA 92223-3172 | |
(951) 845-6500 | |
(866) 856-0338 |
Full Name | Cathleen Vanessa Gutierrez Exconde-mercado |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 1620 E 2nd St Ste N, Beaumont, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518674605 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F10220152 (California) | Secondary |
363L00000X | Nurse Practitioner | 95023464 (California) | Primary |
Entity Name | Csi Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871909804 PECOS PAC ID: 5890916845 Enrollment ID: O20141016001930 |
Mailing Address | Practice Location Address |
---|---|
Cathleen Vanessa Gutierrez Exconde-mercado, RN, NP 4798 S Scott Way, Ontario, CA 91762-7365 Ph: (415) 629-0525 | Cathleen Vanessa Gutierrez Exconde-mercado, RN, NP 1620 E 2nd St Ste N, Beaumont, CA 92223-3172 Ph: (951) 845-6500 |
David Yaw Kissi, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1426 Tahoe St, Beaumont, CA 92223 Phone: 909-434-4294 | |
Josielyn Java, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 35240 Hogan Dr, Beaumont, CA 92223 Phone: 951-846-7261 | |
Mr. Brian Jeffrey Adams, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1591 Midnight Sun Dr, Beaumont, CA 92223 Phone: 510-406-8292 | |
Michelle Marie Brilee, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14700 Manzanita Park Rd, Beaumont, CA 92223 Phone: 951-845-3155 | |
Valerie Victoria Charlton, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 37520 Mulligan Dr, Beaumont, CA 92223 Phone: 626-327-9633 | |
Priyal Tejaskumar Amin, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 81 Highland Springs Ave, Beaumont, CA 92223 Phone: 909-786-0703 | |
Gurjit Kaur Talwar, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 701 Highland Springs Ave Ste 5, Beaumont, CA 92223 Phone: 951-533-7295 |