| Mrs Alba Nidia Casco, NURSE PRACTITIONER | |
|
251 Landis Ave, Chula Vista, CA 91910-2628 | |
| (619) 515-2500 | |
| Not Available |
| Full Name | Mrs Alba Nidia Casco |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 251 Landis Ave, Chula Vista, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689066490 | NPI | - | NPPES |
| 95001957 | Other | CA | MEDICAL LIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 95001957 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 95001957 (California) | Primary |
| Entity Name | Family Health Centers Of San Diego Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447281936 PECOS PAC ID: 3476446378 Enrollment ID: O20040204000923 |
| Entity Name | La Maestra Family Clinic, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306929443 PECOS PAC ID: 7113968512 Enrollment ID: O20050516000901 |
| Entity Name | Somagen Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396058137 PECOS PAC ID: 1557530151 Enrollment ID: O20110817000276 |
| Entity Name | Somagen Healthcare Ii Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316225147 PECOS PAC ID: 4981877735 Enrollment ID: O20111024000461 |
| Entity Name | Somagen Healthcare Iii Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558788620 PECOS PAC ID: 8921225830 Enrollment ID: O20140815001327 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Alba Nidia Casco, NURSE PRACTITIONER 823 Gateway Center Way, San Diego, CA 92102-4541 Ph: (619) 515-2300 | Mrs Alba Nidia Casco, NURSE PRACTITIONER 251 Landis Ave, Chula Vista, CA 91910-2628 Ph: (619) 515-2500 |