Jose Cervantes, MA | |
151 N Sunrise Ave Ste 1105, Roseville, CA 95661-2931 | |
(916) 771-8255 | |
(916) 771-8211 |
Full Name | Jose Cervantes |
---|---|
Gender | Male |
Speciality | Speech-language Pathologist |
Location | 151 N Sunrise Ave Ste 1105, Roseville, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407339807 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 12711 (California) | Primary |
Provider Name | Permanente Medical Group Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Jose Cervantes, MA 151 N Sunrise Ave Ste 1105, Roseville, CA 95661-2931 Ph: (916) 771-8255 | Jose Cervantes, MA 151 N Sunrise Ave Ste 1105, Roseville, CA 95661-2931 Ph: (916) 771-8255 |
Yvonne Katsuyama, , M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1700 Eureka Rd Ste 155, Roseville, CA 95661 Phone: 916-276-0823 | |
Julie E Seiler, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 151 N Sunrise Ave, Suite 1105, Roseville, CA 95661 Phone: 916-771-8255 Fax: 916-771-8211 | |
Mrs. Christin Hopp Brackett, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 151 N Sunrise Ave, Suite 1105, Roseville, CA 95661 Phone: 916-771-8255 | |
Tatiana Loza -hine, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 600 Sunrise Ave, Roseville, CA 95661 Phone: 916-782-3131 | |
Mrs. Lori Jean Linder, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2530 Douglas Blvd Ste 110, Roseville, CA 95661 Phone: 530-758-8944 Fax: 530-758-4302 | |
Emily Hunn, M.S. SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 151 N Sunrise Ave, Suite 1105, Roseville, CA 95661 Phone: 916-771-8255 Fax: 916-771-8211 | |
Charlotte Yang, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 151 N Sunrise Ave Ste 1105, Roseville, CA 95661 Phone: 916-771-8255 Fax: 916-771-8211 |