Jennifer Santiago Olesco, | |
752 Medical Center Ct, Chula Vista, CA 91911-6658 | |
(619) 421-3361 | |
(619) 869-4378 |
Full Name | Jennifer Santiago Olesco |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 752 Medical Center Ct, Chula Vista, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225771264 | NPI | - | NPPES |
95020676 | Other | CA | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 95020676 (California) | Primary |
Entity Name | Balboa Nephrology Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316997505 PECOS PAC ID: 9638164015 Enrollment ID: O20040415001031 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Santiago Olesco, 4225 Executive Sq Ste 450, La Jolla, CA 92037-8411 Ph: (858) 810-8000 | Jennifer Santiago Olesco, 752 Medical Center Ct, Chula Vista, CA 91911-6658 Ph: (619) 421-3361 |
Linda Helen Marshall, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 751 Medical Center Ct, Chula Vista, CA 91911 Phone: 619-502-5946 | |
Shulami Park Lee, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 353 H St, Chula Vista, CA 91910 Phone: 858-552-8585 Fax: 858-642-6325 | |
Stephanie Reittinger, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 865 3rd Ave Ste 101, Chula Vista, CA 91911 Phone: 619-426-7910 Fax: 619-426-2337 | |
Karen Vogel, APRN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 900 Lane Ave Ste 114, Chula Vista, CA 91914 Phone: 877-840-6956 Fax: 619-383-6701 | |
Allison Marie Davies-uppal, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2360 Corte Pescado, #88, Chula Vista, CA 91914 Phone: 858-335-0682 | |
Sarah Ju Young Keum, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 450 4th Ave Ste 311, Chula Vista, CA 91910 Phone: 619-371-9156 | |
Genevieve Della Rosa Deutsch, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 765 Medical Center Ct Ste 209, Chula Vista, CA 91911 Phone: 619-427-8892 Fax: 619-422-7660 |