| Jelita Macanas, | |
|
659 S Central Valley Hwy, Shafter, CA 93263-2790 | |
| (661) 459-1900 | |
| Not Available |
| Full Name | Jelita Macanas |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 659 S Central Valley Hwy, Shafter, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265457055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 835243 (California) | Primary |
| Provider Name | Omni Family Health |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1700891660 PECOS PAC ID: 9234176363 Enrollment ID: O20050411000986 |
| Mailing Address | Practice Location Address |
|---|---|
| Jelita Macanas, 11606 Reagan Rd, Bakersfield, CA 93312-8253 Ph: (661) 587-8106 | Jelita Macanas, 659 S Central Valley Hwy, Shafter, CA 93263-2790 Ph: (661) 459-1900 |
Brenda J Mulder, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 29909 Los Angeles St, Shafter, CA 93263 Phone: 661-746-0411 Fax: 661-746-3465 | |
Avery Mcmanus, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1150 E Lerdo Hwy, Shafter, CA 93263 Phone: 661-630-5890 | |
Maria Luisa Elias, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 655 Central Valley Hwy, Shafter, CA 93263 Phone: 866-707-6664 |