| Mr Ronald Mar Tenorio Atillo, AG-ACNP-BC | |
|
200 W Arbor Dr, San Diego, CA 92103-9000 | |
| (800) 926-8273 | |
| Not Available |
| Full Name | Mr Ronald Mar Tenorio Atillo |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 200 W Arbor Dr, San Diego, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346747391 | NPI | - | NPPES |
| 2000070078 | Other | CA | AMERICAN ASSOCIATION OF CRITICAL CARE NURSES |
| 768953 | Other | CA | BOARD OF NURSING |
| 95008863 | Other | CA | CALIFORNIA BOARD OF NURSING |
| 95008863 | Other | CA | FURNISHING NUMBER |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ahmc Anaheim Regional Medical Center | Anaheim, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Chest And Critical Care Consultants A Medical Group | 7911987961 | 62 |
| Entity Name | Faculty Physicians And Surgeons Of Llusm |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981 |
| Entity Name | Regents Of The University Of California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356444897 PECOS PAC ID: 3577476761 Enrollment ID: O20040109000444 |
| Entity Name | Chest And Critical Care Consultants A Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598852717 PECOS PAC ID: 7911987961 Enrollment ID: O20040721001161 |
| Entity Name | Temecula Valley Emergency Medical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407845092 PECOS PAC ID: 0345206405 Enrollment ID: O20041209000758 |
| Entity Name | Faculty Physicians And Surgeons Of Llusm |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508255175 PECOS PAC ID: 1153227814 Enrollment ID: O20160216002196 |
| Entity Name | Innovative Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003407735 PECOS PAC ID: 1759797251 Enrollment ID: O20210308002622 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ronald Mar Tenorio Atillo, AG-ACNP-BC 611 Paradise Way, National City, CA 91950-3060 Ph: (747) 257-9053 | Mr Ronald Mar Tenorio Atillo, AG-ACNP-BC 200 W Arbor Dr, San Diego, CA 92103-9000 Ph: (800) 926-8273 |