Vivere Jabonillo Castro, | |
1115 S Sunset Ave Ste 200, West Covina, CA 91790-3940 | |
(626) 732-8390 | |
Not Available |
Full Name | Vivere Jabonillo Castro |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1115 S Sunset Ave Ste 200, West Covina, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154087641 | NPI | - | NPPES |
95019100 | Other | FNP LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 95019100 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Entity Name | Emanate Health Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326582743 PECOS PAC ID: 4981986866 Enrollment ID: O20170130001647 |
Entity Name | Emanate Health Medical Care Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467195073 PECOS PAC ID: 9830544980 Enrollment ID: O20231011003976 |
Mailing Address | Practice Location Address |
---|---|
Vivere Jabonillo Castro, 14011 Park Ave, Victorville, CA 92392-2413 Ph: (833) 574-2273 | Vivere Jabonillo Castro, 1115 S Sunset Ave Ste 200, West Covina, CA 91790-3940 Ph: (626) 732-8390 |
Mrs. Claire Marie Tabares, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1115 S Sunset Ave, West Covina, CA 91790 Phone: 626-814-2547 | |
Moses Ewo, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 933 S Sunset Ave Ste 105, West Covina, CA 91790 Phone: 714-709-3154 | |
Jettele Joy D Lara, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1135 S Sunset Ave Ste 401, West Covina, CA 91790 Phone: 626-732-8393 | |
Caroline Matibag Caspe, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 S Sunset Ave, West Covina, CA 91790 Phone: 626-960-6999 Fax: 626-960-5246 | |
Ms. Shylee Bautista Tiamson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 N Barranca St # 900-j, West Covina, CA 91791 Phone: 310-292-0117 | |
Mrs. Evangeline Baquiran Pelaez, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 N Barranca St Ste 900, West Covina, CA 91791 Phone: 626-206-0523 Fax: 626-206-0553 | |
Jacqueline Johnson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 420 S. Glendora Ave, West Covina, CA 91790 Phone: 616-250-5247 |