Lita Salise Matibag, LVN is a
Licensed Vocational Nurse based in Hercules, California. Lita Salise Matibag is licensed to practice in California (license number VN182720) and her current practice location is
757 Valley Run, Hercules, California. She can be reached at her office (for appointments etc.) via phone at
(510) 367-4854.
NPI number for Lita Salise Matibag is 1831558576 and her current mailing address is 757 Valley Run, Hercules, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1831558576.
Provider's Profile
Full Name | Lita Salise Matibag |
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Gender | Female |
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Speciality | Licensed Vocational Nurse |
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Location | 757 Valley Run, Hercules, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1831558576
- Provider Enumeration Date: 02/22/2016
- Last Update Date: 02/22/2016
Medical Identifiers
Medical identifiers for Lita Salise Matibag such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831558576 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164X00000X | Licensed Vocational Nurse | VN182720 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lita Salise Matibag is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Lita Salise Matibag, LVN 757 Valley Run, Hercules, CA 94547-1445 Ph: (510) 367-4854 | Lita Salise Matibag, LVN 757 Valley Run, Hercules, CA 94547-1445 Ph: (510) 367-4854 |
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