Viviana Antunez, | |
2435 Marshall Ave, Imperial, CA 92251-9599 | |
(760) 550-6327 | |
Not Available |
Full Name | Viviana Antunez |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 2435 Marshall Ave, Imperial, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174206478 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 95025419 (California) | Primary |
Entity Name | Universal Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376632877 PECOS PAC ID: 2365332368 Enrollment ID: O20040315001597 |
Entity Name | Central Health Plan Of California, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386714772 PECOS PAC ID: 7416395736 Enrollment ID: O20240405001559 |
Mailing Address | Practice Location Address |
---|---|
Viviana Antunez, 2387 Sandalwood Dr, El Centro, CA 92243-3611 Ph: (760) 234-5432 | Viviana Antunez, 2435 Marshall Ave, Imperial, CA 92251-9599 Ph: (760) 550-6327 |
Mr. Freddy Carreno, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2302 Brown Rd, Imperial, CA 92251 Phone: 760-337-7900 Fax: 760-337-7669 | |
Dr. Aksel Narvaez, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2417 Marshall Ave Ste 1, Imperial, CA 92251 Phone: 760-355-0161 | |
Mr. James Darnell Williams Jr., FNP-C, MSN, RN, CEN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2429 Ohare Ct, Imperial, CA 92251 Phone: 760-540-0053 | |
Marlene Batista, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2417 Marshall Ave Ste 1, Imperial, CA 92251 Phone: 760-355-0161 | |
Kristal Jaime, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2332 Victoria Ct, Imperial, CA 92251 Phone: 760-427-4733 | |
Annais Troncoso, MSN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2402 Imperial Business Park Dr Ste 101, Imperial, CA 92251 Phone: 760-355-5267 Fax: 760-355-5248 |