| Collins Boampong, | |
|
10935 Terra Vista Pkwy Apt 244, Rancho Cucamonga, CA 91730-6360 | |
| (909) 944-3205 | |
| Not Available |
| Full Name | Collins Boampong |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 10935 Terra Vista Pkwy Apt 244, Rancho Cucamonga, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225449622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | NP950000655 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Medical Foundation | 8921993205 | 1461 |
| Entity Name | Providence Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871607762 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
| Mailing Address | Practice Location Address |
|---|---|
| Collins Boampong, 1805 Medical Center Dr, San Bernardino, CA 92411-1217 Ph: (909) 887-6333 | Collins Boampong, 10935 Terra Vista Pkwy Apt 244, Rancho Cucamonga, CA 91730-6360 Ph: (909) 944-3205 |
Dorian Valdez, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7567 Rhode Island Ct, Rancho Cucamonga, CA 91730 Phone: 909-646-2893 |
Sydney Lewis, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9431 Haven Ave Ste 101, Rancho Cucamonga, CA 91730 Phone: 512-876-6133 |
Vanessa Williams, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8273 White Oak Ave Ste B, Rancho Cucamonga, CA 91730 Phone: 909-686-0783 |
Dawn M Mcclure, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8470 Carson Pl Unit 30, Rancho Cucamonga, CA 91730 Phone: 314-440-8502 |
Jiao Feng, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8112 Milliken Ave Ste 201, Rancho Cucamonga, CA 91730 Phone: 909-466-7337 |
Christabel Marie Querubin-nguyen, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9375 Archibald Ave, Rancho Cucamonga, CA 91730 Phone: 999-999-9999 |
Mrs. Dionne A Gonzales, CNM, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6584 Elderberry Ct, Rancho Cucamonga, CA 91739 Phone: 323-407-1675 |