Ms Jennifer T Dixon, ANP-BC | |
8510 Balboa Blvd, Suite 150, Northridge, CA 91325-3583 | |
(818) 637-2000 | |
(818) 933-0549 |
Full Name | Ms Jennifer T Dixon |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 8510 Balboa Blvd, Northridge, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538430418 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 738910 (California) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | 21271 (California) | Primary |
Entity Name | Lakeside Medical Organization A Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831426642 PECOS PAC ID: 7618005166 Enrollment ID: O20100505000015 |
Mailing Address | Practice Location Address |
---|---|
Ms Jennifer T Dixon, ANP-BC 8510 Balboa Blvd, Suite 150, Northridge, CA 91325-3583 Ph: (818) 637-2000 | Ms Jennifer T Dixon, ANP-BC 8510 Balboa Blvd, Suite 150, Northridge, CA 91325-3583 Ph: (818) 637-2000 |
Mrs. Alicia E Lane, FNP-BC, BSN, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19346 Nordhoff St, Northridge, CA 91324 Phone: 818-727-2040 | |
Mrs. Michelle Paige Birdsall, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18300 Roscoe Blvd, Northridge, CA 91325 Phone: 818-885-8500 | |
Louise Anne Villanueva, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8628 Reseda Blvd, Northridge, CA 91324 Phone: 818-361-5437 | |
Riffat Khan, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18300 Roscoe Blvd, Northridge, CA 91325 Phone: 818-885-3577 | |
Angelo Soriano, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18300 Roscoe Blvd, Northridge, CA 91325 Phone: 818-885-8500 | |
Jennifer Michelle Melman, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18433 Roscoe Blvd, Suite 240, Northridge, CA 91325 Phone: 818-349-1262 | |
Shadi Tamaddon, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8510 Balboa Blvd, Ste 150, Northridge, CA 91325 Phone: 818-637-2000 Fax: 818-654-3417 |