Ms Kimberly Ta, | |
16745 W Bernardo Dr Ste 240, San Diego, CA 92127-1908 | |
(858) 592-2000 | |
Not Available |
Full Name | Ms Kimberly Ta |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 3 Years |
Location | 16745 W Bernardo Dr Ste 240, San Diego, 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 |
---|---|---|---|
1639839418 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 95018697 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sotara Manalo Rico Professional Medical Corporation | 1658644182 | 3 |
Entity Name | Sotara Manalo Rico Professional Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962932632 PECOS PAC ID: 1658644182 Enrollment ID: O20170906000723 |
Mailing Address | Practice Location Address |
---|---|
Ms Kimberly Ta, 13458 Treasure Way, Chino Hills, CA 91709-1223 Ph: (909) 720-4805 | Ms Kimberly Ta, 16745 W Bernardo Dr Ste 240, San Diego, CA 92127-1908 Ph: (858) 592-2000 |
Lorena Marie Fujii, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 34800 Bob Wilson Dr, San Diego, CA 92134 Phone: 619-532-8910 | |
Susan Kermoian Yaszay, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 823 Gateway Center Way, San Diego, CA 92102 Phone: 619-515-2300 Fax: 619-232-1360 | |
Dale Michael Trujillo, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 | |
Amina Michelle Heise, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8110 Birmingham Way Bldg 28, 2nd Floor, San Diego, CA 92123 Phone: 858-966-4003 Fax: 858-560-6798 | |
Amy M Sorgent, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7995 Armour St, San Diego, CA 92111 Phone: 858-637-4262 | |
Blanca Estela Cardenas, FNP, MSN, PHN, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2801 Camino Del Rio S Ste 204-1, San Diego, CA 92108 Phone: 619-426-9731 Fax: 619-426-9733 | |
Kaylee Petersen, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 Fax: 888-539-8781 |