Mary M Okimoto, NP | |
715 Tank Farm Road, Suite C, San Luis Obispo, CA 93401-7068 | |
(805) 543-5577 | |
(805) 595-3231 |
Full Name | Mary M Okimoto |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 17 Years |
Location | 715 Tank Farm Road, San Luis Obispo, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144400771 | NPI | - | NPPES |
CB242811 | Other | CA | MEDICARE ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
364SX0204X | Clinical Nurse Specialist - Oncology, Pediatrics | 17444 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
French Hospital Medical Center | San luis obispo, CA | Hospital |
Marian Regional Medical Center | Santa maria, CA | Hospital |
Sierra Vista Regional Medical Center | San luis obispo, CA | Hospital |
Twin Cities Community Hospital | Templeton, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Regents Of The University Of California | 1355248584 | 1170 |
Entity Name | The Regents Of The University Of California |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235107566 PECOS PAC ID: 1355248584 Enrollment ID: O20031223000439 |
Mailing Address | Practice Location Address |
---|---|
Mary M Okimoto, NP 117 West Bunny Avenue, Santa Maria, CA 93458-2805 Ph: (805) 543-5577 | Mary M Okimoto, NP 715 Tank Farm Road, Suite C, San Luis Obispo, CA 93401-7068 Ph: (805) 543-5577 |
Ms. Susan K Moon Labriola, NP Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 715 Tank Farm Road, Suite C, San Luis Obispo, CA 93401 Phone: 805-543-5577 Fax: 805-595-3231 |