Cory Lyn Rogers, | |
720 Winding Creek Ter, Brentwood, CA 94513-1824 | |
(239) 810-4114 | |
Not Available |
Full Name | Cory Lyn Rogers |
---|---|
Gender | Female |
Speciality | Registered Nurse |
Location | 720 Winding Creek Ter, Brentwood, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114594884 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 236147 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Cory Lyn Rogers, 720 Winding Creek Ter, Brentwood, CA 94513-1824 Ph: () - | Cory Lyn Rogers, 720 Winding Creek Ter, Brentwood, CA 94513-1824 Ph: (239) 810-4114 |
Deborah Sakamoto, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1833 Tanglewood Ln, Brentwood, CA 94513 Phone: 925-642-2788 | |
Mr. Nathaniel Liggins Jr., Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1187 Holsapple Way, Brentwood, CA 94513 Phone: 925-234-0857 | |
Esther M Valenzuela Jr., Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1015 Crescent Dr, Brentwood, CA 94513 Phone: 925-634-1751 | |
Gaganjit Sandhu, FNP Registered Nurse Medicare: Medicare Enrolled Practice Location: 100 Cortona Way Ste 160, Brentwood, CA 94513 Phone: 925-926-0195 | |
Jessica Hill, RN, FNP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 350 John Muir Pkwy, Suite 105, Brentwood, CA 94513 Phone: 925-513-2483 Fax: 925-513-4957 | |
Mrs. Laura Frances Scalzo, RN, IBCLC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1360 Leaning Oak Dr, Brentwood, CA 94513 Phone: 925-234-3837 |