Jagmohan Ghotra, NP | |
26024 Ohara Ln, Stevenson Ranch, CA 91381-1109 | |
(661) 877-6211 | |
Not Available |
Full Name | Jagmohan Ghotra |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 26024 Ohara Ln, Stevenson Ranch, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689032815 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 95003867 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Entity Name | Pc Medical Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093814113 PECOS PAC ID: 6305839101 Enrollment ID: O20040407000296 |
Entity Name | West Hills Emergency Medical Associates, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275761249 PECOS PAC ID: 6800949553 Enrollment ID: O20090729000217 |
Entity Name | Advantage Hospitalists, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801269881 PECOS PAC ID: 7810291531 Enrollment ID: O20160201000977 |
Entity Name | Physicians And Surgeons Home Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184105231 PECOS PAC ID: 6305181686 Enrollment ID: O20181213002651 |
Entity Name | Avanti Home Doctors Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225500945 PECOS PAC ID: 6406194265 Enrollment ID: O20190220003285 |
Entity Name | Lb Hendricks Medical Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366083842 PECOS PAC ID: 2365774007 Enrollment ID: O20191029002578 |
Entity Name | Avanti Health Providers |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023622669 PECOS PAC ID: 3870904642 Enrollment ID: O20201130001828 |
Entity Name | Integrated Allied Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649970740 PECOS PAC ID: 6204293228 Enrollment ID: O20230607001430 |
Mailing Address | Practice Location Address |
---|---|
Jagmohan Ghotra, NP 26024 Ohara Ln, Stevenson Ranch, CA 91381-1109 Ph: (661) 877-6211 | Jagmohan Ghotra, NP 26024 Ohara Ln, Stevenson Ranch, CA 91381-1109 Ph: (661) 877-6211 |
Valerie Mae Martinez, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25073 Wintergreen Ct, Stevenson Ranch, CA 91381 Phone: 714-785-7130 | |
Mrs. Leslie Carol De La Flor, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25592 The Old Rd, Stevenson Ranch, CA 91381 Phone: 661-288-1405 Fax: 661-705-2090 |