Juanita Wielenga, CNM | |
4000 14th St, Suite #314, Riverside, CA 92501-4083 | |
(951) 781-7140 | |
(951) 781-7184 |
Full Name | Juanita Wielenga |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 4000 14th St, Riverside, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982752895 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | NMW1014 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
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Juanita Wielenga, CNM 4000 14th St, Suite #314, Riverside, CA 92501-4083 Ph: (951) 781-7140 | Juanita Wielenga, CNM 4000 14th St, Suite #314, Riverside, CA 92501-4083 Ph: (951) 781-7140 |
Verna G Ginete, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 909-353-2000 | |
Patricia Ann Beuoy-schwartzman, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 951-353-4296 | |
Janice Goings, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 909-353-2000 | |
Roshann S Samuels, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 909-353-2000 | |
Andrea M Ferrara, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 909-353-2000 | |
Loredana Ruiz, C.N.M. Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 951-353-2000 | |
Jeri A Sanchez, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 909-353-2000 |