Mary Tiffany Cereneche, NP-C | |
333 Thalia St, Laguna Beach, CA 92651-2713 | |
(949) 499-0577 | |
Not Available |
Full Name | Mary Tiffany Cereneche |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Primary Care |
Location | 333 Thalia St, Laguna Beach, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093446957 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | NP95019956 (California) | Primary |
Entity Name | Caduceus Physicians Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497702724 PECOS PAC ID: 5294762654 Enrollment ID: O20050718001020 |
Mailing Address | Practice Location Address |
---|---|
Mary Tiffany Cereneche, NP-C 25 Silkberry, Irvine, CA 92614-7480 Ph: (757) 618-3763 | Mary Tiffany Cereneche, NP-C 333 Thalia St, Laguna Beach, CA 92651-2713 Ph: (949) 499-0577 |
Denise L Sekins, C.F.N.P Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 31872 Coast Hwy, Laguna Beach, CA 92651 Phone: 949-499-1311 | |
Mr. Robert Anthony Cadena, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 32392 Coast Hwy Ste 250, Laguna Beach, CA 92651 Phone: 949-499-2265 | |
Dr. Diana Irene Lithgow, RN, FNP, PHD Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 362 3rd St, Laguna Beach, CA 92651 Phone: 949-494-0761 | |
Jessica Renee Edmonds, MSN, APRN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 S Coast Hwy Ste 214, Laguna Beach, CA 92651 Phone: 949-715-4418 | |
Kumbirai Madiye, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Mindworks Connection, 1968 S Coast Hwy # 4560, Laguna Beach, CA 92651 Phone: 425-615-4312 Fax: 442-253-8085 | |
Addie Claire Gonwa Ramonda, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2744 S Coast Hwy, Laguna Beach, CA 92651 Phone: 907-321-0095 |