Rose Callender, FNP-BC | |
790 E. Foothill Blvd., Rialto, CA 92376-5269 | |
(909) 546-7135 | |
(877) 778-9467 |
Full Name | Rose Callender |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 790 E. Foothill Blvd., Rialto, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669896551 | NPI | - | NPPES |
EFFECTIVE 4/9/15 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 842294 (California) | Secondary |
363L00000X | Nurse Practitioner | 95000207 (California) | Primary |
Entity Name | Advanced Dermatology & Skin Cancer Specialists |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881023927 PECOS PAC ID: 3678702206 Enrollment ID: O20140131000433 |
Mailing Address | Practice Location Address |
---|---|
Rose Callender, FNP-BC 200 Oceangate, Suite 100, Long Beach, CA 90802-4317 Ph: (562) 499-6191 | Rose Callender, FNP-BC 790 E. Foothill Blvd., Rialto, CA 92376-5269 Ph: (909) 546-7135 |
Mr. Jesus Omar Valenzuela, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 436 S Riverside Ave, Rialto, CA 92376 Phone: 909-877-8868 | |
Susan Suen, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 416 W Foothill Blvd, Rialto, CA 92376 Phone: 909-421-0493 | |
Terrye Annette Anderson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1180 N Glenwood Ave, Rialto, Rialto, CA 92376 Phone: 909-874-6899 | |
Ms. Li Watkins, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 280 N Riverside Avenue, Rialto, CA 92376 Phone: 909-421-2121 Fax: 909-421-0491 | |
Mrs. Roxanna Jacqueline Lucero, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6662 Yucca Ave, Rialto, CA 92376 Phone: 909-877-3746 Fax: 909-820-6465 | |
Amanda Vo, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 425 E Foothill Blvd, Rialto, CA 92376 Phone: 909-546-1050 Fax: 909-546-1061 | |
Jeremy James Neuner, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1851 N Riverside Ave, Rialto, CA 92376 Phone: 909-421-2700 |