Mr Michael D Conrad, NP | |
14150 Culver Dr Ste 100, Irvine, CA 92604-0322 | |
(949) 552-4584 | |
(949) 551-5612 |
Full Name | Mr Michael D Conrad |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 20 Years |
Location | 14150 Culver Dr Ste 100, Irvine, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144335704 | NPI | - | NPPES |
NP 15571 | Other | CA | NP LICENSE |
EFF: 6/11/12-RIALTO | Medicaid | CA | |
EFF:6/11/12 ADELANTO | Medicaid | CA | |
EFF: 6/11/12-S BERN | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | NP 15571 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sac Health System | 4385533579 | 169 |
Memorialcare Medical Foundation | 8729277314 | 384 |
Entity Name | Sac Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013935923 PECOS PAC ID: 4385533579 Enrollment ID: O20040315000608 |
Entity Name | Pinnacle Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376876912 PECOS PAC ID: 4880667609 Enrollment ID: O20040818001020 |
Entity Name | Memorialcare Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205167350 PECOS PAC ID: 8729277314 Enrollment ID: O20110113000219 |
Mailing Address | Practice Location Address |
---|---|
Mr Michael D Conrad, NP 14150 Culver Dr Ste 100, Irvine, CA 92604-0322 Ph: (949) 552-4584 | Mr Michael D Conrad, NP 14150 Culver Dr Ste 100, Irvine, CA 92604-0322 Ph: (949) 552-4584 |
Katherine Lin Matsumoto, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 250 E Yale Loop Ste 204, Irvine, CA 92604 Phone: 949-732-3530 Fax: 949-732-3533 | |
Salma Essau Nawabi, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14330 Culver Dr, Irvine, CA 92604 Phone: 949-559-8129 | |
Mrs. Amber Hardy Rickner, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Fivepoint, Irvine, CA 92618 Phone: 949-671-4673 Fax: 949-671-4329 | |
Tina Thomas, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19742 Macarthur Blvd Ste 101, Irvine, CA 92612 Phone: 949-955-0202 Fax: 949-955-0203 | |
Kelly Eguchi, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17782 Cowan Ste A, Irvine, CA 92614 Phone: 949-722-7118 | |
Alice Kwon-song, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15825 Laguna Canyon Rd Ste 104, Irvine, CA 92618 Phone: 949-585-9870 | |
Mrs. Medjinn Thomas, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2801 Kelvin Ave Unit 381, Irvine, CA 92614 Phone: 610-568-0201 |