| Ailyn Baldorado, | |
|
18350 Roscoe Blvd, Northridge, CA 91325-4109 | |
| (818) 280-5961 | |
| Not Available |
| Full Name | Ailyn Baldorado |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 18350 Roscoe Blvd, Northridge, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528666013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95016867 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Ailyn Baldorado, 18350 Roscoe Blvd # 702, Northridge, CA 91325-4109 Ph: (818) 280-5961 | Ailyn Baldorado, 18350 Roscoe Blvd, Northridge, CA 91325-4109 Ph: (818) 280-5961 |
Ararat Apelian, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18350 Roscoe Blvd Ste 714, Northridge, CA 91325 Phone: 818-796-2920 | |
Mrs. Alicia E Lane, FNP-BC, BSN, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19346 Nordhoff St, Northridge, CA 91324 Phone: 818-727-2040 | |
Mrs. Michelle Paige Birdsall, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18300 Roscoe Blvd, Northridge, CA 91325 Phone: 818-885-8500 | |
Louise Anne Villanueva, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8628 Reseda Blvd, Northridge, CA 91324 Phone: 818-361-5437 | |
Dominick Rey Amparano, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18300 Roscoe Blvd, Northridge, CA 91325 Phone: 818-885-8500 Fax: 818-727-0893 | |
Riffat Khan, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18300 Roscoe Blvd, Northridge, CA 91325 Phone: 818-885-3577 | |
Angelo Soriano, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18300 Roscoe Blvd, Northridge, CA 91325 Phone: 818-885-8500 |