Mrs Christine Antoinette Vergara, RN, PHN | |
405 W 5th St, Santa Ana, CA 92701-4599 | |
(714) 461-8379 | |
Not Available |
Full Name | Mrs Christine Antoinette Vergara |
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Gender | Female |
Speciality | Registered Nurse |
Location | 405 W 5th St, Santa Ana, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164038022 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 95028068 (California) | Secondary |
163W00000X | Registered Nurse | 95189049 (California) | Primary |
Entity Name | Central Health Plan Of California, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386714772 PECOS PAC ID: 7416395736 Enrollment ID: O20240405001559 |
Mailing Address | Practice Location Address |
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Mrs Christine Antoinette Vergara, RN, PHN 405 W 5th St, Santa Ana, CA 92701-4599 Ph: (714) 834-4144 | Mrs Christine Antoinette Vergara, RN, PHN 405 W 5th St, Santa Ana, CA 92701-4599 Ph: (714) 461-8379 |
Ms. Deborah Bennett, PHN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1725 W 17th St, Santa Ana, CA 92706 Phone: 714-834-7763 | |
Ms. Sandra Chapman, RNBSN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1540 E 1st St, Santa Ana, CA 92701 Phone: 714-972-3705 | |
Daisy Nataly Medina, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1725 W 17th St, Santa Ana, CA 92706 Phone: 714-834-7324 | |
Peter Nguyen, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 405 W 5th St, Santa Ana, CA 92701 Phone: 714-834-2217 | |
Jim Reyes, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 405 W. 3rd Street, Santa Ana, CA 92701 Phone: 714-834-2217 | |
Alyssa Rosario Leones, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 405 W 5th St, Santa Ana, CA 92701 Phone: 714-834-6724 | |
Usman Azeem, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 405 W 5th St, Santa Ana, CA 92701 Phone: 714-326-5527 |