Michael Jay Rendle, NP-C | |
12032 Champlain St, Moreno Valley, CA 92557-7713 | |
(951) 203-7865 | |
Not Available |
Full Name | Michael Jay Rendle |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 12032 Champlain St, Moreno Valley, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255945200 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 1070301 (Texas) | Primary |
363LF0000X | Nurse Practitioner - Family | 95014922 (California) | Secondary |
Entity Name | Segue Health Of Texas Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215510763 PECOS PAC ID: 8921400953 Enrollment ID: O20210713001669 |
Entity Name | Transtreme Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003290453 PECOS PAC ID: 9739574039 Enrollment ID: O20220324000212 |
Entity Name | Monogram Health Professional Services Of Texas Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396481255 PECOS PAC ID: 3870969124 Enrollment ID: O20221012001279 |
Mailing Address | Practice Location Address |
---|---|
Michael Jay Rendle, NP-C 12032 Champlain St, Moreno Valley, CA 92557-7713 Ph: (951) 203-7865 | Michael Jay Rendle, NP-C 12032 Champlain St, Moreno Valley, CA 92557-7713 Ph: (951) 203-7865 |
Lajean Avon Forbes, CNM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12712 Heacock St, Suite 7, Moreno Valley, CA 92553 Phone: 951-924-6824 Fax: 951-601-9302 | |
Susan Launa Weeks, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-5162 Fax: 818-843-5224 | |
Mfon-obong Nseuwa Etukudoh, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12900 Frederick St Ste C, Moreno Valley, CA 92553 Phone: 888-743-7526 | |
Magen Ashley Costilla, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26600 Cactus Ave Ste 300, Moreno Valley, CA 92555 Phone: 951-988-9500 | |
Holly Vanderhyde, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12364 Perris Blvd, Moreno Valley, CA 92557 Phone: 605-209-6421 | |
Mrs. Vanessa Renee Smith Constantino, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25970 Iris Ave Ste 3b, Moreno Valley, CA 92551 Phone: 951-924-2775 | |
Lloydette H Brewah, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14934 Tarragon Way, Moreno Valley, CA 92553 Phone: 951-269-0542 |