| Alexis Jhonatan Maya Gomez, NP-C | |
|
5333 Baltimore Dr Apt 6, La Mesa, CA 91942-2085 | |
| (760) 886-2835 | |
| Not Available |
| Full Name | Alexis Jhonatan Maya Gomez |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 5333 Baltimore Dr Apt 6, La Mesa, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659842615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WM0705X | Registered Nurse - Medical-surgical | 786796 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 95008246 (California) | Primary |
| Entity Name | Centro De Salud De La Comunidad De San Ysidro, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124782685 PECOS PAC ID: 6901709435 Enrollment ID: O20040130000711 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexis Jhonatan Maya Gomez, NP-C 5333 Baltimore Dr Apt 6, La Mesa, CA 91942-2085 Ph: (760) 886-2835 | Alexis Jhonatan Maya Gomez, NP-C 5333 Baltimore Dr Apt 6, La Mesa, CA 91942-2085 Ph: (760) 886-2835 |
Miss April Julia Brewster, PMHNP-BC, APRN, MSN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5555 Grossmont Center Dr, 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 858-296-6182 | |
Farhana Maswood, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5332 Jackson Dr, La Mesa, CA 91942 Phone: 619-303-0933 | |
Hoda Melissa Kashikar, RN, MSN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8881 Fletcher Pkwy, Suite 360, La Mesa, CA 91942 Phone: 619-460-2700 | |
Chelsea Provenzano, MSN, FNP- C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8851 Center Dr Ste 408, La Mesa, CA 91942 Phone: 619-583-1174 Fax: 619-583-4609 | |
Hannah Bradley, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5111 Garfield St Ste B, La Mesa, CA 91941 Phone: 619-698-9375 | |
Maja Ceranic, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8665 La Mesa Blvd, La Mesa, CA 91942 Phone: 619-465-0702 | |
Stephanie Martinez, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8690 Center Dr, La Mesa, CA 91942 Phone: 619-697-1325 |