Lisette Macias, NP | |
1 Hope Dr, Tustin, CA 92782-0221 | |
(714) 247-0300 | |
Not Available |
Full Name | Lisette Macias |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 1 Hope Dr, Tustin, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245568724 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 748044 (California) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | 95004862 (California) | Primary |
Entity Name | Uci Department Of Urology |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255398533 PECOS PAC ID: 6901799238 Enrollment ID: O20040202001148 |
Mailing Address | Practice Location Address |
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Lisette Macias, NP 3019 Croyden Bay, Costa Mesa, CA 92626-6912 Ph: (909) 519-6737 | Lisette Macias, NP 1 Hope Dr, Tustin, CA 92782-0221 Ph: (714) 247-0300 |
Mr. Michael Sean Kelly, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17601 17th St Ste 120, Tustin, CA 92780 Phone: 714-769-6090 | |
Mrs. Nicole Ninofranco Alcantara, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14642 Newport Avenue Suite 200, Tustin, CA 92780 Phone: 714-669-4466 | |
Nicole Rolle Noche, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 661 W 1st St Ste G, Tustin, CA 92780 Phone: 714-665-9890 | |
Sandra Garcia, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14642 Newport Ave Ste 101, Tustin, CA 92780 Phone: 714-352-5800 | |
Aishah Mandeel, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14971 Holt Ave, Tustin, CA 92780 Phone: 949-356-7676 | |
Jonathan Ramonty Chhean, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Hope Dr, Tustin, CA 92782 Phone: 714-247-0300 Fax: 714-259-1598 | |
Amanda Joy Hall, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1451 Irvine Blvd, Tustin, CA 92780 Phone: 714-838-8878 |