Clarissa Samaniego, NP | |
400 N Pepper Ave, Colton, CA 92324-1801 | |
(909) 580-1000 | |
Not Available |
Full Name | Clarissa Samaniego |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 400 N Pepper Ave, Colton, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174172423 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 95059222 (California) | Secondary |
363L00000X | Nurse Practitioner | 95013621 (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: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Mailing Address | Practice Location Address |
---|---|
Clarissa Samaniego, NP 2010 Clementine St, Redlands, CA 92374-1629 Ph: (951) 251-2639 | Clarissa Samaniego, NP 400 N Pepper Ave, Colton, CA 92324-1801 Ph: (909) 580-1000 |
Mr. Raymond Balagtas Tinio, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 829 N La Cadena Dr, Colton, CA 92324 Phone: 562-310-5772 Fax: 818-752-9911 | |
Mrs. Esther Y Lo, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1181 N Mount Vernon Ave, Colton, CA 92324 Phone: 909-498-2356 Fax: 877-824-9080 | |
Ms. Maria R Lawrence, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Center For Employee Health And Wellness, Colton, CA 92324 Phone: 909-580-1701 Fax: 909-580-1359 | |
Venice Ababat, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1449 Linville Ln, Colton, CA 92324 Phone: 909-835-8864 | |
Nicole Genevieve Williams, MD Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-2186 Fax: 909-580-3814 | |
Jane Nwokeabia, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-3145 | |
Adaobi Maureen Adimorah, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-3145 Fax: 909-580-2165 |