| Ji Yeon Kwon, NP | |
|
9300 Valley Childrens Pl # Ge07, Madera, CA 93636 | |
| (559) 353-6277 | |
| (559) 353-7195 |
| Full Name | Ji Yeon Kwon |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 9300 Valley Childrens Pl # Ge07, Madera, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912492216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 821931 (California) | Secondary |
| 363L00000X | Nurse Practitioner | 95009482 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Stanford Health Care | Stanford, CA | Hospital |
| Stanford Health Care - Valleycare | Pleasanton, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Stanford Health Care | 6709797491 | 2579 |
| Entity Name | Stanford Health Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348 |
| Entity Name | Lpch Medical Group Div Of Lucile |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417907940 PECOS PAC ID: 0840298543 Enrollment ID: O20061113000232 |
| Mailing Address | Practice Location Address |
|---|---|
| Ji Yeon Kwon, NP 9300 Valley Childrens Pl # Ge07, Madera, CA 93636-8762 Ph: (559) 353-6277 | Ji Yeon Kwon, NP 9300 Valley Childrens Pl # Ge07, Madera, CA 93636 Ph: (559) 353-6277 |
Soledad Reyes, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 344 E 6th St, Madera, CA 93638 Phone: 559-666-4000 | |
Pamela Rebecca Marsh, PNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9300 Valley Childrens Pl, Madera, CA 93636 Phone: 559-801-1997 | |
Valerie Va Tcha, ACNPC-AG Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 36331 Avenue 15, Madera, CA 93636 Phone: 559-283-4743 | |
Harjeet K Gill, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 344 E 6th St, Madera, CA 93638 Phone: 559-664-4000 | |
Russell Martin Elms, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 441 E Yosemite Ave, Madera, CA 93638 Phone: 559-664-4000 | |
Sarah Marie Scott, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9300 Valley Childrens Pl, Madera, CA 93638 Phone: 559-353-8674 Fax: 559-353-6480 | |
Mrs. Patricia Ann Alexander, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 344 E. 4th St, Madera, CA 93638 Phone: 559-664-4000 Fax: 559-675-5661 |