Mr Chip Booher, FNP | |
120 W Cole Blvd Ste B, Calexico, CA 92231-9700 | |
(760) 890-0190 | |
(760) 890-0160 |
Full Name | Mr Chip Booher |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 120 W Cole Blvd Ste B, Calexico, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841617529 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 426570 (California) | Secondary |
363LF0000X | Nurse Practitioner - Family | 95000248 (California) | Primary |
Entity Name | Molina Healthcare Of California |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194811760 PECOS PAC ID: 7517957608 Enrollment ID: O20061101000348 |
Entity Name | Clinicas Del Valle A Professional Corp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184292179 PECOS PAC ID: 9436557428 Enrollment ID: O20211005002669 |
Mailing Address | Practice Location Address |
---|---|
Mr Chip Booher, FNP 200 S 5th St, El Centro, CA 92243-3013 Ph: (760) 482-0864 | Mr Chip Booher, FNP 120 W Cole Blvd Ste B, Calexico, CA 92231-9700 Ph: (760) 890-0190 |
Mary I Gutierrez, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 408 E 3rd St Ste B, Calexico, CA 92231 Phone: 760-357-9962 Fax: 760-768-1714 | |
Susan J Dean, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 450 E Birch St, Calexico, CA 92231 Phone: 760-768-6262 Fax: 760-768-6290 | |
Gerardo Jesus Martinez, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 223 W Cole Blvd, Calexico, CA 92231 Phone: 760-357-2020 | |
Jacqueline Villanueva Felix, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 201 J A Rodney Ave, Calexico, CA 92231 Phone: 760-679-6630 | |
Mrs. Samantha Castro, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 495 E Birch St Ste A, Calexico, CA 92231 Phone: 760-482-5000 Fax: 760-337-9199 | |
Mr. Nelson Omar Rios, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 120 W Cole Blvd, Calexico, CA 92231 Phone: 912-251-2567 | |
Wendy Berenice Buzo Perez, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 E Birch St, Calexico, CA 92231 Phone: 760-890-5593 |