Nicolas Phetniranh Sengdara, NP-C | |
25272 Marguerite Pkwy, Mission Viejo, CA 92692-2901 | |
(949) 581-9120 | |
Not Available |
Full Name | Nicolas Phetniranh Sengdara |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 25272 Marguerite Pkwy, Mission Viejo, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1386123511 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363LF0000X | Nurse Practitioner - Family | 95009671 (California) | Primary |
Entity Name | Minuteclinic Diagnostic Medical Group Of Orange County Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104013879 PECOS PAC ID: 5991868929 Enrollment ID: O20090116000214 |
Mailing Address | Practice Location Address |
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Nicolas Phetniranh Sengdara, NP-C 25272 Marguerite Pkwy, Mission Viejo, CA 92692-2901 Ph: (949) 581-9120 | Nicolas Phetniranh Sengdara, NP-C 25272 Marguerite Pkwy, Mission Viejo, CA 92692-2901 Ph: (949) 581-9120 |
Chelsea Zimmerman, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 27700 Medical Center Rd, Mission Viejo, CA 92691 Phone: 949-364-1400 | |
Jeremy John Christie, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 26800 Crown Valley Pkwy Ste 150, Mission Viejo, CA 92691 Phone: 949-276-2111 | |
Diana Joan Munro, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 27481 Ganso, Mission Viejo, CA 92691 Phone: 949-468-6600 | |
Yi-jywe Cheng, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 26611 Lira Cir, Mission Viejo, CA 92691 Phone: 714-907-5108 | |
Ms. Susan T. Manabo, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26455 Marsala Way, Mission Viejo, CA 92692 Phone: 949-348-0476 Fax: 213-484-9939 | |
Darolyn Underwood Plant, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 23228 Madero, Mission Viejo, CA 92691 Phone: 949-454-3940 | |
Ms. Brendi M Gayle, AG-ACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 27700 Medical Center Rd, Mission Viejo, CA 92691 Phone: 949-364-1400 |