| Yoggie Efendy, NP | |
|
1430 E Cooley Dr Ste 122, Colton, CA 92324-3944 | |
| (909) 572-6226 | |
| Not Available |
| Full Name | Yoggie Efendy |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 1430 E Cooley Dr Ste 122, Colton, 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 |
|---|---|---|---|
| 1366831653 | NPI | - | NPPES |
| 95001545 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95001545 (California) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 95001545 (California) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Huerta Four Square Clinicals Professional Corporation | 1153733803 | 2 |
| Entity Name | St Huerta Four Square Clinicals Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508473034 PECOS PAC ID: 1153733803 Enrollment ID: O20250129001959 |
| Mailing Address | Practice Location Address |
|---|---|
| Yoggie Efendy, NP 415 East Avenue I, Lancaster, CA 93535-2432 Ph: (661) 522-6770 | Yoggie Efendy, NP 1430 E Cooley Dr Ste 122, Colton, CA 92324-3944 Ph: (909) 572-6226 |
Mr. Raymond Balagtas Tinio, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 829 N La Cadena Dr, Colton, CA 92324 Phone: 562-310-5772 Fax: 818-752-9911 | |
Mrs. Esther Y Lo, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1181 N Mount Vernon Ave, Colton, CA 92324 Phone: 909-498-2356 Fax: 877-824-9080 | |
Ms. Maria R Lawrence, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Center For Employee Health And Wellness, Colton, CA 92324 Phone: 909-580-1701 Fax: 909-580-1359 | |
Venice Ababat, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1449 Linville Ln, Colton, CA 92324 Phone: 909-835-8864 | |
Nicole Genevieve Williams, MD Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-2186 Fax: 909-580-3814 | |
Jane Nwokeabia, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-3145 | |
Adaobi Maureen Adimorah, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-3145 Fax: 909-580-2165 |