Shana Susanne Celeste, RN | |
741 E Alvarado St, Pomona, CA 91767-4837 | |
(626) 552-2024 | |
Not Available |
Full Name | Shana Susanne Celeste |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 741 E Alvarado St, Pomona, 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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1659026672 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 1116163 (Texas) | Primary |
163W00000X | Registered Nurse | 95099503 (California) | Secondary |
Entity Name | Evolve Psychiatry Md, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659031573 PECOS PAC ID: 7810384005 Enrollment ID: O20220418000738 |
Mailing Address | Practice Location Address |
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Shana Susanne Celeste, RN 741 E Alvarado St, Pomona, CA 91767-4837 Ph: (626) 552-2024 | Shana Susanne Celeste, RN 741 E Alvarado St, Pomona, CA 91767-4837 Ph: (626) 552-2024 |
Michael Marinello, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 255 E Bonita Ave, Pomona, CA 91767 Phone: 909-643-2980 | |
Rohan Bassi, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1866 N Orange Grove Ave Ste 202, Pomona, CA 91767 Phone: 909-623-8796 Fax: 909-623-3076 | |
Patrick Alonzo, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1880 N Orange Grove Ave, Pomona, CA 91767 Phone: 909-623-2100 | |
Raquel C Rulloda, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1900 Royalty Dr Ste 250, Pomona, CA 91767 Phone: 909-623-6581 | |
Shellee Reese, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1910 Royalty Dr, Pomona, CA 91767 Phone: 909-865-9901 | |
Ivy Lien Yin, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1920 N Garey Ave, Pomona, CA 91767 Phone: 909-622-1235 | |
Lijuan Zhao, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 260 E Holt Ave, Pomona, CA 91767 Phone: 909-629-8088 Fax: 909-629-8755 |