Thyssen V Castaneto, FNP-C | |
25825 Vermont Ave, Harbor City, CA 90710-3518 | |
(310) 517-3150 | |
Not Available |
Full Name | Thyssen V Castaneto |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 25825 Vermont Ave, Harbor City, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508344821 | NPI | - | NPPES |
NP95009001 | Medicaid | CA | |
NP95009001 | Other | CA | MEDICAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | NP95009001 (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: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
---|---|
Thyssen V Castaneto, FNP-C 526 Athena Pl, Carson, CA 90745-3692 Ph: (310) 212-5185 | Thyssen V Castaneto, FNP-C 25825 Vermont Ave, Harbor City, CA 90710-3518 Ph: (310) 517-3150 |
Angelita Domingo Bueno, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1403 Lomita Blvd, Harbor City, CA 90710 Phone: 310-784-5800 Fax: 310-530-9811 | |
Rosemary Fleming, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 | |
Christina Cortez Van Guyse, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 | |
Rose S Hurowitz, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 | |
Renee D Wright, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 | |
Michelle Neal, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 | |
Janice M Boyk, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 |