Tracy Nesiri Ndiyob, LPN is a
Licensed Practical Nurse based in Rancho Palos Verdes, California. Tracy Nesiri Ndiyob is licensed to practice in California (license number 716801) and her current practice location is
2018 Van Karajan Dr, Rancho Palos Verdes, California. She can be reached at her office (for appointments etc.) via phone at
(424) 254-6604.
NPI number for Tracy Nesiri Ndiyob is 1326700030 and her current mailing address is 2018 Van Karajan Dr, Rancho Palos Verdes, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1326700030.
Provider's Profile
Full Name | Tracy Nesiri Ndiyob |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 2018 Van Karajan Dr, Rancho Palos Verdes, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1326700030
- Provider Enumeration Date: 10/10/2021
- Last Update Date: 10/10/2021
Medical Identifiers
Medical identifiers for Tracy Nesiri Ndiyob such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326700030 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 716801 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tracy Nesiri Ndiyob is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Tracy Nesiri Ndiyob, LPN 2018 Van Karajan Dr, Rancho Palos Verdes, CA 90275 Ph: (424) 254-6604 | Tracy Nesiri Ndiyob, LPN 2018 Van Karajan Dr, Rancho Palos Verdes, CA 90275 Ph: (424) 254-6604 |
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