Tyler James Soga, | |
215 S Hickory St Ste 114, Escondido, CA 92025-4360 | |
(760) 454-9570 | |
Not Available |
Full Name | Tyler James Soga |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 215 S Hickory St Ste 114, Escondido, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447743943 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 95009086 (California) | Secondary |
363LF0000X | Nurse Practitioner - Family | NP95009086 (California) | Primary |
Entity Name | Snf Wound Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114393311 PECOS PAC ID: 1759699176 Enrollment ID: O20151006000251 |
Mailing Address | Practice Location Address |
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Tyler James Soga, 215 S Hickory St Ste 114, Escondido, CA 92025-4360 Ph: () - | Tyler James Soga, 215 S Hickory St Ste 114, Escondido, CA 92025-4360 Ph: (760) 454-9570 |
Ruth Bravo, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 460 N Elm St, Escondido, CA 92025 Phone: 760-737-2000 Fax: 760-737-2039 | |
Roger A Strong, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 150 W Crest St, Escondido, CA 92025 Phone: 760-737-2050 Fax: 760-796-3782 | |
Mrs. Kathy Anne Newell, RN NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1320 W Valley Pkwy, Escondido, CA 92029 Phone: 760-737-9733 | |
Christopher Duong, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 225 E 2nd Ave, Escondido, CA 92025 Phone: 760-291-6700 | |
Emily Jo Ycasas, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 488 E Valley Pkwy Ste 107, Escondido, CA 92025 Phone: 760-294-0480 | |
Sara Normani, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 150 W Crest St, Escondido, CA 92025 Phone: 760-690-7186 | |
Mary Louise Schreiber, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 426 N Date St, Escondido, CA 92025 Phone: 760-690-5900 |