Kenneth Wayne Nordlund, NP | |
58581 Us Highway 371 Ste F, G, H, Anza, CA 92539-9331 | |
(951) 763-4759 | |
Not Available |
Full Name | Kenneth Wayne Nordlund |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 26 Years |
Location | 58581 Us Highway 371 Ste F, G, H, Anza, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356385082 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN428808 (California) | Secondary |
363L00000X | Nurse Practitioner | NPF10271 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Borrego Community Health Foundation | 1759299944 | 30 |
Southern California Emergency Medicine | 8628128196 | 37 |
Entity Name | Desert Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114918612 PECOS PAC ID: 8123930427 Enrollment ID: O20031229000246 |
Entity Name | Borrego Community Health Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134144165 PECOS PAC ID: 1759299944 Enrollment ID: O20040122000961 |
Entity Name | California Em-i Medical Services A Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972629079 PECOS PAC ID: 3678487774 Enrollment ID: O20041201000618 |
Entity Name | Southern California Emergency Medicine |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639314255 PECOS PAC ID: 8628128196 Enrollment ID: O20090604000499 |
Entity Name | Premier Health Partners |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609170232 PECOS PAC ID: 1759564396 Enrollment ID: O20110321000157 |
Entity Name | California Em-i Medical Services A Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881987360 PECOS PAC ID: 3678487774 Enrollment ID: O20110718000588 |
Entity Name | Anaheim Emergency Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114626017 PECOS PAC ID: 9133585029 Enrollment ID: O20230518003235 |
Mailing Address | Practice Location Address |
---|---|
Kenneth Wayne Nordlund, NP 1695 N Sunrise Way, Palm Springs, CA 92262-3701 Ph: (760) 323-2118 | Kenneth Wayne Nordlund, NP 58581 Us Highway 371 Ste F, G, H, Anza, CA 92539-9331 Ph: (951) 763-4759 |
Jennifer Ann Conrad, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 41755 Heller Springs Rd, Anza, CA 92539 Phone: 951-323-3337 |