Thao Lai, FNP-C | |
415 E Harding Way Ste D, Stockton, CA 95204-6118 | |
(209) 944-5750 | |
(209) 464-2684 |
Full Name | Thao Lai |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 415 E Harding Way Ste D, Stockton, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144956921 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 95222577 (California) | Secondary |
363LF0000X | Nurse Practitioner - Family | 95021514 (California) | Primary |
Entity Name | Stockton Cardiology Medical Group Complete Heart Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477591444 PECOS PAC ID: 8921048257 Enrollment ID: O20050520001058 |
Mailing Address | Practice Location Address |
---|---|
Thao Lai, FNP-C 415 E Harding Way Ste D, Stockton, CA 95204-6118 Ph: (209) 944-5750 | Thao Lai, FNP-C 415 E Harding Way Ste D, Stockton, CA 95204-6118 Ph: (209) 944-5750 |
Yuko Motooka-halseth, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1801 E March Ln Ste D470, Stockton, CA 95210 Phone: 209-507-7027 Fax: 209-762-6808 | |
Harmanpreet Kaur, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 415 E Harding Way, Stockton, CA 95204 Phone: 209-944-5750 | |
Rex Ambatali Jr., FNP-C, CVNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2633 Pacific Ave, Stockton, CA 95204 Phone: 209-944-5530 | |
Mrs. Deborah Kay Hastie, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 73 W March Lane, Suite F, Stockton, CA 95207 Phone: 209-952-5555 Fax: 209-952-1907 | |
Mrs. Ketty Ukpong Uweh, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 644 E Harding Way Ste B, Stockton, CA 95204 Phone: 209-244-9191 Fax: 209-244-9190 | |
Dr. Joan S Rubinger, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2488 N California St, C/o R Winter Md, Stockton, CA 95204 Phone: 209-518-5051 | |
Lisa Hansen, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 89 W March Ln, Suite #1, Stockton, CA 95207 Phone: 209-478-2622 Fax: 209-870-2754 |