| Katina Deneen Edwards, NP | |
|
2372 Morse Ave # 1090, Irvine, CA 92614-6234 | |
| (310) 345-0101 | |
| (949) 681-3501 |
| Full Name | Katina Deneen Edwards |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 2372 Morse Ave # 1090, Irvine, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568810117 | NPI | - | NPPES |
| 1568810117 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 744354 (California) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95025093 (California) | Primary |
| Entity Name | Inland Psychiatric Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649217761 PECOS PAC ID: 9436062312 Enrollment ID: O20031106000736 |
| Mailing Address | Practice Location Address |
|---|---|
| Katina Deneen Edwards, NP 27183 Lasso Way, Corona, CA 92883-6685 Ph: (310) 345-0101 | Katina Deneen Edwards, NP 2372 Morse Ave # 1090, Irvine, CA 92614-6234 Ph: (310) 345-0101 |
Katherine Lin Matsumoto, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 250 E Yale Loop Ste 204, Irvine, CA 92604 Phone: 949-732-3530 Fax: 949-732-3533 | |
Salma Essau Nawabi, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14330 Culver Dr, Irvine, CA 92604 Phone: 949-559-8129 | |
Mrs. Amber Hardy Rickner, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Fivepoint, Irvine, CA 92618 Phone: 949-671-4673 Fax: 949-671-4329 | |
Tina Thomas, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19742 Macarthur Blvd Ste 101, Irvine, CA 92612 Phone: 949-955-0202 Fax: 949-955-0203 | |
Kelly Eguchi, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17782 Cowan Ste A, Irvine, CA 92614 Phone: 949-722-7118 | |
Alice Kwon-song, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15825 Laguna Canyon Rd Ste 104, Irvine, CA 92618 Phone: 949-585-9870 | |
Mrs. Medjinn Thomas, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2801 Kelvin Ave Unit 381, Irvine, CA 92614 Phone: 610-568-0201 |