Mrs Jobana Lissette Perez, NP | |
7000 Boulder Ave, Highland, CA 92346-3348 | |
(909) 862-1191 | |
Not Available |
Full Name | Mrs Jobana Lissette Perez |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 7000 Boulder Ave, Highland, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982371076 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WG0000X | Registered Nurse - General Practice | 95131428 (California) | Secondary |
363LF0000X | Nurse Practitioner - Family | 95019888 (California) | Primary |
Entity Name | Beaver Medical Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649503319 PECOS PAC ID: 0547164295 Enrollment ID: O20031124000449 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jobana Lissette Perez, NP Po Box 10069, San Bernardino, CA 92423-0069 Ph: (909) 335-4188 | Mrs Jobana Lissette Perez, NP 7000 Boulder Ave, Highland, CA 92346-3348 Ph: (909) 862-1191 |
Ms. Marcella C Gutierrez, FNP, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7000 Boulder Ave, Highland, CA 92346 Phone: 909-862-1191 Fax: 909-862-2768 | |
Christie Anne Laciste, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7000 Boulder Ave, Highland, CA 92346 Phone: 909-862-1191 | |
Saulina Marpaung, N.P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7000 Boulder Ave, Highland, CA 92346 Phone: 909-862-1191 | |
Mrs. Tina Teresa Hall, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 29080 Marcus Ln, Highland, CA 92346 Phone: 909-633-2648 | |
Claire Loden, DNP, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7000 Boulder Ave, Highland, CA 92346 Phone: 909-862-1191 | |
Charlene De Grassi, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7000 Boulder Ave, Highland, CA 92346 Phone: 909-862-1191 Fax: 909-425-3331 | |
Dr. Merrick Maynard Tsai, MD, FNP-BC, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 28839 Lemon St, Highland, CA 92346 Phone: 909-742-9889 Fax: 909-498-1635 |