Olivia Ghaussy, | |
11633 Hawthorne Blvd, Hawthorne, CA 90250-2321 | |
(310) 741-9046 | |
Not Available |
Full Name | Olivia Ghaussy |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 11633 Hawthorne Blvd, Hawthorne, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861874398 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 95002558 (California) | Primary |
363LA2200X | Nurse Practitioner - Adult Health | 95002558 (California) | Secondary |
Entity Name | Alameda Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740332931 PECOS PAC ID: 3779494521 Enrollment ID: O20031110000764 |
Entity Name | Stanford Health Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348 |
Entity Name | County Of San Mateo |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679642326 PECOS PAC ID: 9032023171 Enrollment ID: O20031126000292 |
Entity Name | County Of San Mateo |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831268580 PECOS PAC ID: 9032023171 Enrollment ID: O20040123000822 |
Mailing Address | Practice Location Address |
---|---|
Olivia Ghaussy, 1235 Yale St, #1, Santa Monica, CA 90404-1535 Ph: (310) 741-9046 | Olivia Ghaussy, 11633 Hawthorne Blvd, Hawthorne, CA 90250-2321 Ph: (310) 741-9046 |
Trang Thi Kim, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3643 W 133rd St, Hawthorne, CA 90250 Phone: 310-297-0194 | |
Mrs. Nadia Heidi Blanco, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11946 Hawthorne Blvd, Hawthorne, CA 90250 Phone: 310-675-1136 | |
Renee Mckenzie, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11712 Hawthorne Blvd, Hawthorne, CA 90250 Phone: 310-679-9293 Fax: 310-715-8686 | |
Ogbonna Iwuamadi Olelewe, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11712 S. Hawthorne Blvd, Hawthorne, CA 90250 Phone: 310-679-9293 Fax: 310-679-4017 | |
Amanda L Stowell, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4866 W 137th St, Hawthorne, CA 90250 Phone: 818-462-1195 | |
Ms. Nona Pacatang Santos, N.P.-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4477 W 118th St, Suite 200, Hawthorne, CA 90250 Phone: 310-675-4440 Fax: 310-675-5816 | |
Joseph Ngwa Tanifor, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11712 Hawthorne Blvd, Hawthorne, CA 90250 Phone: 310-679-9293 |