Jason Tai Kreider, NP | |
7741 Saint Bernard St Apt 2, Playa Del Rey, CA 90293-8318 | |
(858) 245-6645 | |
Not Available |
Full Name | Jason Tai Kreider |
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Gender | Male |
Speciality | Nurse Practitioner |
Location | 7741 Saint Bernard St Apt 2, Playa Del Rey, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063034601 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 95014032 (California) | Primary |
363L00000X | Nurse Practitioner | 241073 (Arizona) | Secondary |
Entity Name | Global Integrated Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578019485 PECOS PAC ID: 6709173487 Enrollment ID: O20160923000187 |
Entity Name | West Coast Wound And Skin Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437675980 PECOS PAC ID: 7315212834 Enrollment ID: O20171010002105 |
Mailing Address | Practice Location Address |
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Jason Tai Kreider, NP 7741 Saint Bernard St Apt 2, Playa Del Rey, CA 90293-8318 Ph: (858) 245-6645 | Jason Tai Kreider, NP 7741 Saint Bernard St Apt 2, Playa Del Rey, CA 90293-8318 Ph: (858) 245-6645 |
Katherine Michelle Vesta, F.N.P Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8180 Manitoba St, #357, Playa Del Rey, CA 90293 Phone: 815-739-3807 | |
Laquicha Westervelt, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8700 Pershing Drive, 4209, Playa Del Rey, CA 90293 Phone: 949-351-1044 |