Mr Marcus Wayne Riley, FNP-C | |
340 S Lemon Ave # 9892, Walnut, CA 91789-2706 | |
(415) 403-2156 | |
Not Available |
Full Name | Mr Marcus Wayne Riley |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Location | 340 S Lemon Ave # 9892, Walnut, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225612468 | NPI | - | NPPES |
95016882 | Other | CA | AMERICAN NURSES ASSOCIATION |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 95016882 (California) | Primary |
Entity Name | Faculty Physicians And Surgeons Of Llusm |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981 |
Entity Name | Faculty Physicians And Surgeons Of Llusm |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508255175 PECOS PAC ID: 1153227814 Enrollment ID: O20160216002196 |
Mailing Address | Practice Location Address |
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Mr Marcus Wayne Riley, FNP-C Po Box 2039, Running Springs, CA 92382-2039 Ph: (818) 754-7321 | Mr Marcus Wayne Riley, FNP-C 340 S Lemon Ave # 9892, Walnut, CA 91789-2706 Ph: (415) 403-2156 |
Miss Jessie Armanda Linsenbardt, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 340 South Lemon Ave, Walnut, CA 91789 Phone: 503-914-0308 | |
Erwin Sampang, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 731 Lyonwood Ave, Walnut, CA 91789 Phone: 562-481-5744 | |
Jinfae Jeng, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 119 N Avenida Alipaz, Walnut, CA 91789 Phone: 909-837-0776 | |
Eun Jung Kim, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1115 Loxley Pl, Walnut, CA 91789 Phone: 909-762-4414 | |
Mr. Edik Avetyan, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 839 Watercress Ln, Walnut, CA 91789 Phone: 760-490-8036 | |
Piran Mehta, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 340 S Lemon Ave Unit 9892, Walnut, CA 91789 Phone: 415-651-3458 |