Joseph Jacob Mazzullo, PMHNP | |
8329 Brimhall Road, Suite 804, Bakersfield, CA 93312-2243 | |
(661) 431-1555 | |
(661) 471-2410 |
Full Name | Joseph Jacob Mazzullo |
---|---|
Gender | Male |
Speciality | Registered Nurse |
Location | 8329 Brimhall Road, Bakersfield, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023599230 | NPI | - | NPPES |
1149863059 | Other | VETERANS ADMINISTRATION |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WP0808X | Registered Nurse - Psychiatric/mental Health | 666305 (California) | Secondary |
163W00000X | Registered Nurse | 666305 (California) | Primary |
Entity Name | Kern Psychiatric Health And Wellness Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962917021 PECOS PAC ID: 5193080323 Enrollment ID: O20180517001500 |
Entity Name | Arise Psychiatric Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972183648 PECOS PAC ID: 6709286677 Enrollment ID: O20210615000249 |
Entity Name | Pacific Health Education Cognitive Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487121133 PECOS PAC ID: 4880934603 Enrollment ID: O20230516000355 |
Mailing Address | Practice Location Address |
---|---|
Joseph Jacob Mazzullo, PMHNP Po Box 10748, Bakersfield, CA 93389-0748 Ph: (661) 431-1555 | Joseph Jacob Mazzullo, PMHNP 8329 Brimhall Road, Suite 804, Bakersfield, CA 93312-2243 Ph: (661) 431-1555 |
Mrs. Mirna Pfeil, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 15946 Cusano Pl, Bakersfield, CA 93314 Phone: 661-342-2201 | |
Janet Elaine Barenchi, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4900 California Ave, Bakersfield, CA 93309 Phone: 800-330-6664 | |
Alaina Vizzard, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1530 E 19th St, Bakersfield, CA 93305 Phone: 661-631-5895 | |
Harry Mamattah, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 13311 Plumas Wood Ln, Bakersfield, CA 93314 Phone: 661-889-5530 | |
Ms. Eleanor Ingosan Laway-pinchot, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2151 College Ave, Bakersfield, CA 93305 Phone: 661-868-8047 Fax: 661-868-8016 | |
Elaine Ruth Anthony, RN PHN BSN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1800 Mount Vernon Ave, Bakersfield, CA 93306 Phone: 661-868-0502 Fax: 661-868-0218 | |
Gursharn K Tung, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2151 College Ave, Bakersfield, CA 93306 Phone: 661-868-8036 Fax: 661-868-8013 |