Conrad Rios, FNP | |
300 Prosperity Blvd, Chowchilla, CA 93610-8498 | |
(559) 664-4000 | |
(559) 675-5224 |
Full Name | Conrad Rios |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 300 Prosperity Blvd, Chowchilla, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326037771 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 14483 (California) | Secondary |
363LF0000X | Nurse Practitioner - Family | 9240 (California) | Primary |
Entity Name | Camarena Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891778114 PECOS PAC ID: 4880584317 Enrollment ID: O20040318000523 |
Entity Name | Saint Agnes Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558819482 PECOS PAC ID: 7618946369 Enrollment ID: O20170125002669 |
Mailing Address | Practice Location Address |
---|---|
Conrad Rios, FNP 300 Prosperity Blvd, Chowchilla, CA 93610-8498 Ph: (559) 664-4000 | Conrad Rios, FNP 300 Prosperity Blvd, Chowchilla, CA 93610-8498 Ph: (559) 664-4000 |
Mrs. Tochi Eunice Ezenwugo, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 23370 Road 22, Central California Womens Facility, Chowchilla, CA 93610 Phone: 559-665-5531 | |
Mrs. Naomi Nduta Mungai Loadholt, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 23370 Road 22, California State Prison, Chowchilla, Chowchilla, CA 93610 Phone: 559-665-5531 | |
Skylar Mazzoni, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 401 Trinity Ave, Chowchilla, CA 93610 Phone: 559-664-4000 Fax: 559-675-5224 |