J Paul Gatdula, MSN, APRN, PMHNP-BC | |
1000 Quail St Ste 200, Newport Beach, CA 92660-2767 | |
(714) 369-8052 | |
Not Available |
Full Name | J Paul Gatdula |
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Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 1000 Quail St Ste 200, Newport Beach, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225727258 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95025054 (California) | Primary |
Entity Name | Ehab Yacoub Md Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417373713 PECOS PAC ID: 5092099523 Enrollment ID: O20170301002071 |
Mailing Address | Practice Location Address |
---|---|
J Paul Gatdula, MSN, APRN, PMHNP-BC 18885 Deodar St, Fountain Valley, CA 92708-7222 Ph: (562) 202-8630 | J Paul Gatdula, MSN, APRN, PMHNP-BC 1000 Quail St Ste 200, Newport Beach, CA 92660-2767 Ph: (714) 369-8052 |
Mrs. Kena Gunter, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2071 San Joaquin Hills Rd, Newport Beach, CA 92660 Phone: 949-759-1720 | |
Ms. Kay R Collier, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 351 Hospital Rd Ste 401, Newport Beach, CA 92663 Phone: 949-642-6787 Fax: 949-642-4833 | |
Michael Nash, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Hoag Dr, Newport Beach, CA 92663 Phone: 949-764-8376 | |
Olivia Taylor Defilippo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4631 Teller Ave Ste 100, Newport Beach, CA 92660 Phone: 949-887-7187 | |
Miki Stacy Ohata, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3900 W Coast Hwy Ste 310, Newport Beach, CA 92663 Phone: 949-478-8858 | |
Mallory Marino, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Hoag Dr, Newport Beach, CA 92663 Phone: 949-421-7019 | |
Linda Joyce Buck, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1601 Avocado Ave, Newport Beach, CA 92660 Phone: 949-763-2204 Fax: 949-536-8036 |