Jose L Bazan, FNP-C | |
1441 Florida Ave, Modesto, CA 95350-4404 | |
(209) 578-1211 | |
Not Available |
Full Name | Jose L Bazan |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 1441 Florida Ave, Modesto, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437784469 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 95014164 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Entity Name | Hospitalists Of Modesto Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821190711 PECOS PAC ID: 2567360027 Enrollment ID: O20031222000781 |
Entity Name | Escalon Physical Medicine Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821417866 PECOS PAC ID: 4880918192 Enrollment ID: O20150115000125 |
Mailing Address | Practice Location Address |
---|---|
Jose L Bazan, FNP-C 5418 Flintridge Ct, Riverbank, CA 95367-9431 Ph: (209) 450-8522 | Jose L Bazan, FNP-C 1441 Florida Ave, Modesto, CA 95350-4404 Ph: (209) 578-1211 |
Anissa Brown, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1700 Standiford Ave, Modesto, CA 95350 Phone: 209-676-3069 | |
Nameeta Heer, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1316 Celeste Dr, Modesto, CA 95355 Phone: 209-571-1055 | |
Mrs. Lois Elaine Lewis, RN NURSE PRACTITIONE Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 205 W Granger Ave, Modesto, CA 95350 Phone: 209-579-9930 Fax: 209-579-9941 | |
Ms. Margaret Baker, FNPC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1448 Florida Ave, Modesto, CA 95350 Phone: 209-523-1884 Fax: 209-523-2566 | |
Ms. Fantine Warda, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1700 Coffee Rd, Modesto, CA 95355 Phone: 209-526-4500 Fax: 209-572-7901 | |
Shararah Aziz, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1700 Standiford Ave, Modesto, CA 95350 Phone: 209-676-3069 | |
Sukhjit Kaur, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 801 17th St, Modesto, CA 95354 Phone: 209-251-0200 |