| Ana Jasmin Perdomo, | |
|
5730 Packard Ave Ste 500, Marysville, CA 95901-7119 | |
| (916) 953-8566 | |
| Not Available |
| Full Name | Ana Jasmin Perdomo |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 5730 Packard Ave Ste 500, Marysville, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972229854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 95022990 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 95022990 (California) | Primary |
| Entity Name | Molina Healthcare Of California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194811760 PECOS PAC ID: 7517957608 Enrollment ID: O20061101000348 |
| Mailing Address | Practice Location Address |
|---|---|
| Ana Jasmin Perdomo, 5730 Packard Ave Ste 500, Linda, CA 95901-7119 Ph: (916) 953-8566 | Ana Jasmin Perdomo, 5730 Packard Ave Ste 500, Marysville, CA 95901-7119 Ph: (916) 953-8566 |
Jennifer Ann Duncan, N.P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 414 G St, Suite 208, Marysville, CA 95901 Phone: 530-741-1122 | |
Manmit Singh, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1908 N Beale Rd, Marysville, CA 95901 Phone: 530-743-6888 | |
Kristin Ruud, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 726 4th St, Marysville, CA 95901 Phone: 530-749-4300 | |
Weliya M Bajiba, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 414 G St Ste 208, Marysville, CA 95901 Phone: 530-741-1122 | |
Anna Ramirez, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 726 4th St, Marysville, CA 95901 Phone: 530-749-4300 | |
Brianna White, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 726 4th St, Marysville, CA 95901 Phone: 530-749-4304 | |
Nicole Edegbe, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1930 N Beale Rd, Marysville, CA 95901 Phone: 530-645-7336 |