Jeremy Lucero, | |
12347 Claredon Dr Unit 1, Rancho Cucamonga, CA 91739-8068 | |
(909) 912-2033 | |
Not Available |
Full Name | Jeremy Lucero |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 12347 Claredon Dr Unit 1, Rancho Cucamonga, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1720660293 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363LF0000X | Nurse Practitioner - Family | 95017196 (California) | Primary |
Entity Name | Carbon Health Medical Group Of California Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417294232 PECOS PAC ID: 9032340047 Enrollment ID: O20140314001276 |
Entity Name | Vvipa Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295126001 PECOS PAC ID: 5092185546 Enrollment ID: O20221228001648 |
Mailing Address | Practice Location Address |
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Jeremy Lucero, 12347 Claredon Dr Unit 1, Rancho Cucamonga, CA 91739-8068 Ph: () - | Jeremy Lucero, 12347 Claredon Dr Unit 1, Rancho Cucamonga, CA 91739-8068 Ph: (909) 912-2033 |
Dorian Valdez, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7567 Rhode Island Ct, Rancho Cucamonga, CA 91730 Phone: 909-646-2893 | |
Dawn M Mcclure, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8470 Carson Pl Unit 30, Rancho Cucamonga, CA 91730 Phone: 314-440-8502 | |
Jiao Feng, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8112 Milliken Ave Ste 201, Rancho Cucamonga, CA 91730 Phone: 909-466-7337 | |
Mrs. Dionne A Gonzales, CNM, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6584 Elderberry Ct, Rancho Cucamonga, CA 91739 Phone: 323-407-1675 | |
Monica B Xie, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8235 Rochester Ave Ste 110, Rancho Cucamonga, CA 91730 Phone: 909-484-4900 | |
Bernice Chinyere Ivoko, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13146 Mungo Ct, Rancho Cucamonga, CA 91739 Phone: 562-824-5099 | |
Chinwe Julian Anekwe, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11007 Skyglow Dr, Rancho Cucamonga, CA 91730 Phone: 310-908-2120 |