Theresa Runyon, RN NP | |
112 La Casa Via, Ste 210, Walnut Creek, CA 94598-3091 | |
(925) 944-0351 | |
(925) 944-1957 |
Full Name | Theresa Runyon |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 22 Years |
Location | 112 La Casa Via, Walnut Creek, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316948235 | NPI | - | NPPES |
GR0020610 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | MD13953 (California) | Primary |
163W00000X | Registered Nurse | RN43220 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
West Coast Kidney | 1759700149 | 49 |
Entity Name | Diablo Nephrology Medical Group, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194734731 PECOS PAC ID: 2365420965 Enrollment ID: O20040709001347 |
Entity Name | West Coast Kidney |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952914681 PECOS PAC ID: 1759700149 Enrollment ID: O20201005001363 |
Mailing Address | Practice Location Address |
---|---|
Theresa Runyon, RN NP 112 La Casa Via, Ste 210, Walnut Creek, CA 94598-3091 Ph: (925) 944-0351 | Theresa Runyon, RN NP 112 La Casa Via, Ste 210, Walnut Creek, CA 94598-3091 Ph: (925) 944-0351 |
Naomi Okawa, RN,IBCLC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1601 Ygnacio Valley Rd, Walnut Creek, CA 94598 Phone: 925-947-5340 | |
Shantelle Lynette Mcnabb, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1601 Ygnacio Valley Rd, Walnut Creek, CA 94598 Phone: 925-947-5340 Fax: 925-947-7917 | |
Joel Smith, RN, L.AC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2949 Walnut Blvd, Walnut Creek, CA 94596 Phone: 510-610-3316 | |
Pia Marie Edlagan-ortez, RN, CNS Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1450 Treat Blvd Ste 130, Walnut Creek, CA 94597 Phone: 925-941-5076 Fax: 925-941-5073 | |
Esperanza Catalina Velazco, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1601 Ygnacio Valley Rd, Walnut Creek, CA 94598 Phone: 925-947-5340 | |
Ms. Jeryl Ann Girton, MSN, FNP-BC,PMHNP-BC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2970 Camino Diablo, Suite 300, Walnut Creek, CA 94597 Phone: 925-360-5264 | |
Anne Elle, RN, IBCLC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1601 Ygnacio Valley Rd, Walnut Creek, CA 94598 Phone: 925-947-5350 |