Ivan Soria, NP is a
Nurse Practitioner - Family based in Antelope, California. Ivan Soria is licensed to practice in California (license number 95031317) and his current practice location is
8339 Ruge Ct, Antelope, California. He can be reached at his office (for appointments etc.) via phone at
(559) 403-6195.
NPI number for Ivan Soria is 1811714926 and his current mailing address is 8339 Ruge Ct, Antelope, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1811714926.
Provider's Profile
Full Name | Ivan Soria |
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Gender | Male |
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Speciality | Nurse Practitioner - Family |
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Location | 8339 Ruge Ct, Antelope, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1811714926
- Provider Enumeration Date: 09/21/2024
- Last Update Date: 09/21/2024
Medical Identifiers
Medical identifiers for Ivan Soria such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811714926 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 95031317 (California) | Primary |
163W00000X | Registered Nurse | 95290190 (California) | Secondary |
363L00000X | Nurse Practitioner | 95031317 (California) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ivan Soria is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ivan Soria, NP 8339 Ruge Ct, Antelope, CA 95843-5504 Ph: (559) 403-6195 | Ivan Soria, NP 8339 Ruge Ct, Antelope, CA 95843-5504 Ph: (559) 403-6195 |
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