Preston Kyle Lonis, | |
17777 Ventura Blvd Ste 200, Encino, CA 91316-3748 | |
(888) 209-8874 | |
Not Available |
Full Name | Preston Kyle Lonis |
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Gender | Male |
Speciality | Nurse Practitioner |
Location | 17777 Ventura Blvd Ste 200, Encino, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285254623 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 1-144879 (Alabama) | Secondary |
363L00000X | Nurse Practitioner | 95026134 (California) | Primary |
Entity Name | Aleracare Medical Group Of California |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386286581 PECOS PAC ID: 5991138091 Enrollment ID: O20191203002955 |
Mailing Address | Practice Location Address |
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Preston Kyle Lonis, 21200 Kittridge St Apt 2131, Woodland Hills, CA 91303-3043 Ph: (256) 665-0559 | Preston Kyle Lonis, 17777 Ventura Blvd Ste 200, Encino, CA 91316-3748 Ph: (888) 209-8874 |
Heidi Collier, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16133 Ventura Blvd, #360, Encino, CA 91436 Phone: 818-986-6009 Fax: 818-396-5594 | |
Carrie Elizabeth Wilson Friedman, RN,MSN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16055 Ventura Blvd, Suite 712, Encino, CA 91436 Phone: 818-386-1395 Fax: 888-882-6061 | |
Maya King, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16133 Ventura Blvd Ste 360, Encino, CA 91436 Phone: 818-986-6009 Fax: 818-239-4239 | |
John Tonegato, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16260 Ventura Blvd Ste 140, Encino, CA 91436 Phone: 818-528-2500 | |
Kelly Michele Manda, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5363 Balboa Blvd Ste 245, Encino, CA 91316 Phone: 818-343-4430 Fax: 818-343-4423 | |
Rome Diostonne Evangelista, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16530 Ventura Blvd Ste 400, Encino, CA 91436 Phone: 818-625-4814 | |
Kristi Lynn Kuiken, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15503 Ventura Blvd Ste 240, Encino, CA 91436 Phone: 818-461-8148 Fax: 818-461-8105 |