| Charit Msamalia Chimwala Selico, FNP-C | |
|
39874 Golfers Dr, Palmdale, CA 93551-2982 | |
| (912) 224-0113 | |
| Not Available |
| Full Name | Charit Msamalia Chimwala Selico |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse |
| Location | 39874 Golfers Dr, Palmdale, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063996783 | NPI | - | NPPES |
| 823356987 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 797096 (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 |
| Entity Name | Care Connect Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134669971 PECOS PAC ID: 8628352747 Enrollment ID: O20170308001642 |
| Mailing Address | Practice Location Address |
|---|---|
| Charit Msamalia Chimwala Selico, FNP-C 39874 Golfers Dr, Palmdale, CA 93551-2982 Ph: (912) 224-0113 | Charit Msamalia Chimwala Selico, FNP-C 39874 Golfers Dr, Palmdale, CA 93551-2982 Ph: (912) 224-0113 |
Elizabeth Wasil, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 38600 Medical Center Dr, Palmdale, CA 93551 Phone: 661-382-6000 | |
Nnenna Uchechi Chimdi, NP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 38350 40th St E, Palmdale, CA 93552 Phone: 661-225-3050 | |
Martin Vasquez, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 38350 40th St E, Palmdale, CA 93552 Phone: 661-225-3050 | |
Monica Alexandra Escalante, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 38137 Meadow Wood St, Palmdale, CA 93552 Phone: 818-284-8656 | |
Susha Abraham, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 38350 40th St E, Palmdale, CA 93552 Phone: 661-255-5301 | |
Amber Mcirvin, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 38600 Medical Center Dr, Palmdale, CA 93551 Phone: 661-382-6000 |