Mr Roy L Blanco, APRN,MSN,FNP-C,PA-C | |
7373 West Ln, Stockton, CA 95210-3377 | |
(209) 476-2000 | |
(916) 887-7920 |
Full Name | Mr Roy L Blanco |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 18 Years |
Location | 7373 West Ln, Stockton, 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 |
---|---|---|---|
1417074907 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | PA 19007 (California) | Secondary |
363LF0000X | Nurse Practitioner - Family | NP 16596 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Geriatrics Long Term Care Medical Corporation | 0042402042 | 2 |
Permanente Medical Group Inc | 8921910225 | 8376 |
Entity Name | Permanente Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Entity Name | San Joaquin Faculty Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225063761 PECOS PAC ID: 4082631395 Enrollment ID: O20051026000742 |
Entity Name | Geriatrics Long Term Care Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952534927 PECOS PAC ID: 0042402042 Enrollment ID: O20101008000701 |
Mailing Address | Practice Location Address |
---|---|
Mr Roy L Blanco, APRN,MSN,FNP-C,PA-C 5530 Vintage Cir, Stockton, CA 95219-2510 Ph: (209) 623-8580 | Mr Roy L Blanco, APRN,MSN,FNP-C,PA-C 7373 West Ln, Stockton, CA 95210-3377 Ph: (209) 476-2000 |
Yuko Motooka-halseth, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1801 E March Ln Ste D470, Stockton, CA 95210 Phone: 209-507-7027 Fax: 209-762-6808 | |
Harmanpreet Kaur, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 415 E Harding Way, Stockton, CA 95204 Phone: 209-944-5750 | |
Rex Ambatali Jr., FNP-C, CVNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2633 Pacific Ave, Stockton, CA 95204 Phone: 209-944-5530 | |
Mrs. Deborah Kay Hastie, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 73 W March Lane, Suite F, Stockton, CA 95207 Phone: 209-952-5555 Fax: 209-952-1907 | |
Mrs. Ketty Ukpong Uweh, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 644 E Harding Way Ste B, Stockton, CA 95204 Phone: 209-244-9191 Fax: 209-244-9190 | |
Dr. Joan S Rubinger, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2488 N California St, C/o R Winter Md, Stockton, CA 95204 Phone: 209-518-5051 | |
Lisa Hansen, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 89 W March Ln, Suite #1, Stockton, CA 95207 Phone: 209-478-2622 Fax: 209-870-2754 |