Watipaso Ziba, | |
623 Antigua Ter, Mountain House, CA 95391-1284 | |
(209) 879-9719 | |
Not Available |
Full Name | Watipaso Ziba |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 623 Antigua Ter, Mountain House, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700276151 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 835953 (California) | Secondary |
363LF0000X | Nurse Practitioner - Family | 95002106 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Stat Med Pc A California Medical Professional Corporation | 1850528530 | 18 |
Entity Name | California Urgent Care Center Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588959084 PECOS PAC ID: 4183895071 Enrollment ID: O20110926000821 |
Entity Name | Stat Med Pc A California Medical Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891132106 PECOS PAC ID: 1850528530 Enrollment ID: O20140204000122 |
Mailing Address | Practice Location Address |
---|---|
Watipaso Ziba, 623 Antigua Ter, Mountain House, CA 95391-1284 Ph: (209) 879-9719 | Watipaso Ziba, 623 Antigua Ter, Mountain House, CA 95391-1284 Ph: (209) 879-9719 |
Miss Disan Flores Yap, APRN, BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 431 E Legacy Dr, Mountain House, CA 95391 Phone: 510-364-7374 Fax: 209-839-0119 | |
Parbjeet Kaur, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 W Invitar Ln, Mountain House, CA 95391 Phone: 661-717-8629 | |
Nnenna Mildred Kanu, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 855 N Melita Ct, Mountain House, CA 95391 Phone: 510-415-7256 |