Wanda Arizmendi-holguin, ANP - Medicare Nurse Practitioner in Covina, CA

Wanda Arizmendi-holguin, ANP is a medicare enrolled "Nurse Practitioner" in Covina, California. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southern California Permanente Medical Group and her current practice location is 1140 N Stephora Ave, Covina, California. You can reach out to her office (for appointments etc.) via phone at (909) 855-0222.

Wanda Arizmendi-holguin is licensed to practice in California (license number NP95002016) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1689067290.

Contact Information

Wanda Arizmendi-holguin, ANP
1140 N Stephora Ave,
Covina, CA 91724-1628
(909) 855-0222
Not Available

Map and Direction




Provider's Profile

Full NameWanda Arizmendi-holguin
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location1140 N Stephora Ave, Covina, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Wanda Arizmendi-holguin graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1689067290
  • Provider Enumeration Date: 03/07/2015
  • Last Update Date: 12/01/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7517274921
  • Enrollment ID: I20150917001727

Medical Identifiers

Medical identifiers for Wanda Arizmendi-holguin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689067290NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner NP95002016 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southern California Permanente Medical Group60027291758172

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Wanda Arizmendi-holguin allows following entities to bill medicare on her behalf.
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678
Entity NameEast Valley Community Health Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831243625
PECOS PAC ID: 9234041765
Enrollment ID: O20050425000560

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. Wanda Arizmendi-holguin is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Wanda Arizmendi-holguin, ANP
1011 Baldwin Park Blvd,
Baldwin Park, CA 91706-5806

Ph: (626) 851-6034
Wanda Arizmendi-holguin, ANP
1140 N Stephora Ave,
Covina, CA 91724-1628

Ph: (909) 855-0222

Reviews and Comments


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Phone: 626-331-6411    Fax: 626-251-1560
Benjamin Herrick, NP
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Phone: 626-331-7331    
Bethany Shavon Sims, FNP
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Phone: 626-960-2326    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.