Mrs Ruby Khanal, NP | |
1420 N Tracy Blvd, Tracy, CA 95376-3451 | |
(209) 835-1500 | |
Not Available |
Full Name | Mrs Ruby Khanal |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1420 N Tracy Blvd, Tracy, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528550928 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 95009052 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Entity Name | Altamont Emergency Physicians Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952392375 PECOS PAC ID: 5496700759 Enrollment ID: O20050318000840 |
Mailing Address | Practice Location Address |
---|---|
Mrs Ruby Khanal, NP 4875 Willow Rd Apt 202, Pleasanton, CA 94588-4492 Ph: (315) 706-8864 | Mrs Ruby Khanal, NP 1420 N Tracy Blvd, Tracy, CA 95376-3451 Ph: (209) 835-1500 |
Oke Umeugoji, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2172 Tennis Ln, Tracy, CA 95377 Phone: 510-750-6440 | |
Elena Gallardo Costa, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2185 W Grant Line Rd, Tracy, CA 95377 Phone: 209-839-3300 | |
Victor Segura-perez, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1420 N Tracy Blvd, S3cvo, Tracy, CA 95376 Phone: 855-398-1644 Fax: 855-398-8622 | |
Catherine Ifeoma Chukwuma, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 523 Banff Ct, Tracy, CA 95377 Phone: 925-918-2899 | |
Rachel Maston, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1420 N Tracy Blvd, Tracy, CA 95376 Phone: 209-835-1500 | |
Mr. Mark Rainier Nazareno, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1220 Valencia Dr, Tracy, CA 95377 Phone: 562-283-9267 | |
Mr. Jason A Pilkerton, NPC, MSN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1420 N Tracy Blvd, Tracy, CA 95376 Phone: 209-832-6018 |