Nisma Rayan, | |
661 W 1st St Ste E, Tustin, CA 92780-2939 | |
(714) 838-2853 | |
Not Available |
Full Name | Nisma Rayan |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 661 W 1st St Ste E, Tustin, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174056774 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 30230 (California) | Primary |
Provider Name | Permanente Medical Group Inc |
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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 |
---|---|
Nisma Rayan, 710 Lawrence Expy, Santa Clara, CA 95051-5173 Ph: () - | Nisma Rayan, 661 W 1st St Ste E, Tustin, CA 92780-2939 Ph: (714) 838-2853 |
Mrs. Joanne D. Ortega, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 661 W 1st St Ste E, Tustin, CA 92780 Phone: 714-838-2853 Fax: 714-838-4533 | |
Robin Carter, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 661 W 1st St Ste E, Tustin, CA 92780 Phone: 714-838-2853 Fax: 714-838-4533 | |
Kevyne Marie Dantes, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3002 Dow Ave Ste 114, Tustin, CA 92780 Phone: 714-731-4668 | |
Lacey Lynn Vasquez, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 661 W 1st St, Suite E., Tustin, CA 92780 Phone: 714-838-2853 Fax: 714-838-4533 | |
Catherine Bogues, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 661 West 1st Street, Suite E, Tustin, CA 92780 Phone: 714-838-2853 | |
Mrs. Evelyn Divinagracia, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3002 Dow Ave, 114, Tustin, CA 92780 Phone: 714-731-4668 | |
Grace Lam, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 14851 Yorba St, Tustin, CA 92780 Phone: 714-573-5382 |