Derek Quan, NP-C | |
3110 E Guasti Rd, Ontario, CA 91761-1219 | |
(858) 592-2000 | |
Not Available |
Full Name | Derek Quan |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 3110 E Guasti Rd, Ontario, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508462862 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 95015979 (California) | Primary |
Entity Name | Seasons Medical Group Of California Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790239473 PECOS PAC ID: 9234405952 Enrollment ID: O20171025001421 |
Mailing Address | Practice Location Address |
---|---|
Derek Quan, NP-C 17855 Dallas Pkwy Ste 200, Dallas, TX 75287-6857 Ph: (346) 376-1702 | Derek Quan, NP-C 3110 E Guasti Rd, Ontario, CA 91761-1219 Ph: (858) 592-2000 |
Rachel Nuguid Taruc-carlos, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 437 N Euclid Ave, Ontario, CA 91762 Phone: 909-988-2555 | |
Mrs. Terrance Lashan Jackson, RN,BSN,MSN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 151 N Starling Privado, Ontario, CA 91764 Phone: 310-488-4351 | |
Thuong Vu, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2295 S Vineyard Ave, Ontario, CA 91761 Phone: 833-574-2273 | |
Martena Guirgus Israil, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3939 S Sunrise Ave, Ontario, CA 91761 Phone: 714-757-8054 | |
Colleen Sheehan, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3401 Centre Lake Dr Ste 512, Ontario, CA 91761 Phone: 909-566-0445 | |
Chidinma Onuigbo, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3110 E Guasti Rd Ste 315, Ontario, CA 91761 Phone: 909-981-1136 | |
Marialuisa Garcia, MSN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1151 E Walnut St, Ontario, CA 91761 Phone: 909-467-1425 Fax: 909-773-0266 |