| Amanda Cinquegrano, FNP-C | |
|
136 N San Mateo Dr Fl 2, San Mateo, CA 94401-2778 | |
| (650) 348-1242 | |
| (650) 348-0788 |
| Full Name | Amanda Cinquegrano |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 136 N San Mateo Dr Fl 2, San Mateo, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548711633 | NPI | - | NPPES |
| 019227900 | Medicaid | FL | |
| 2O62N | Other | FL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | ARNP9293637 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 95013217 (California) | Primary |
| Entity Name | Csi Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871909804 PECOS PAC ID: 5890916845 Enrollment ID: O20141016001930 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Cinquegrano, FNP-C 3916 Fernwood St, San Mateo, CA 94403-4163 Ph: (813) 263-4905 | Amanda Cinquegrano, FNP-C 136 N San Mateo Dr Fl 2, San Mateo, CA 94401-2778 Ph: (650) 348-1242 |
Ms. Yelice Corea, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1108 S El Camino Real, San Mateo, CA 94402 Phone: 650-458-0026 | |
Mrs. Marty Gail Rosier, RN, PHN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2000 Alameda De Las Pulgas Ste 210, San Mateo, CA 94403 Phone: 650-573-2294 | |
Ms. Katherine R Elsley, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 222 W 39th Ave, San Mateo, CA 94403 Phone: 650-573-3116 | |
Miss Chen Chu Xie, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 210 Baldwin Ave, San Mateo, CA 94401 Phone: 650-579-6581 | |
Mary Teresa Ramirez, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 222 W 39th Ave, San Mateo, CA 94403 Phone: 650-573-2222 | |
Dr. Kristen Ashley Chou, DNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 951 Mariners Island Blvd Ste 300, San Mateo, CA 94404 Phone: 650-285-6927 Fax: 888-352-7383 | |
Ms. Nga Ly, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1108 S El Camino Real, San Mateo, CA 94402 Phone: 415-859-0078 |