Sonia Ildelisa Betancourt, FNP-C | |
621 N State St, San Jacinto, CA 92583-6567 | |
(951) 285-6115 | |
Not Available |
Full Name | Sonia Ildelisa Betancourt |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 621 N State St, San Jacinto, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023628435 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | NP95014929 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Mailing Address | Practice Location Address |
---|---|
Sonia Ildelisa Betancourt, FNP-C 621 N State St Ste 3, San Jacinto, CA 92583-6568 Ph: (951) 652-6522 | Sonia Ildelisa Betancourt, FNP-C 621 N State St, San Jacinto, CA 92583-6567 Ph: (951) 285-6115 |
Linda S. Olson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1695 S San Jacinto Ave, Suite #a, San Jacinto, CA 92583 Phone: 951-665-1100 | |
Jaime Zeledon, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1695 S San Jacinto Ave Ste A-cd, San Jacinto, CA 92583 Phone: 951-330-3100 Fax: 951-380-8596 | |
Lisa Garcia, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1695 S San Jacinto Ave Ste A, San Jacinto, CA 92583 Phone: 951-665-1100 Fax: 951-665-1414 | |
Ms. Martha Kim Izvernari, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1695 S. San Jacinto Ave, Suite L, San Jacinto, CA 92583 Phone: 951-654-8132 Fax: 951-654-8135 | |
Michael Aquitania Agbisit, ACNPC-AG Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 448 Oriole Rd, San Jacinto, CA 92582 Phone: 951-654-8038 | |
Rahel Asfaw Demessie, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 229 W 7th St, San Jacinto, CA 92583 Phone: 951-487-2550 |