| Desirae Mutuc, FNP-C | |
|
23141 Verdugo Dr Ste 201, Laguna Hills, CA 92653-1341 | |
| (949) 215-5055 | |
| Not Available |
| Full Name | Desirae Mutuc |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 23141 Verdugo Dr Ste 201, Laguna Hills, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215393384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95003625 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ag Home Health Services | Pasadena, CA | Home health agency |
| Chino Valley Medical Center | Chino, CA | Hospital |
| Montclair Hospital Medical Center | Montclair, CA | Hospital |
| Los Angeles Community Hospital | Los angeles, CA | Hospital |
| Emanate Health Inter-community Hospital | Covina, CA | Hospital |
| Whittier Hospital Medical Center | Whittier, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dr Oliver M Solomon Inc | 1951692219 | 2 |
| Hassan Chahine Md Inc | 0547691297 | 7 |
| Socal Physician Partners Apc | 9931684511 | 4 |
| Epic Medical Group,inc | 4385883958 | 54 |
| Doctors Managed Emergency Medical Group Inc | 8123931367 | 5 |
| Saab Progressive Medicine A Professional Medical Corporation | 1052786936 | 6 |
| Entity Name | Doctors Managed Emergency Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922241843 PECOS PAC ID: 8123931367 Enrollment ID: O20031112000527 |
| Entity Name | New Ananda Medical and Urgent Care, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417097452 PECOS PAC ID: 4183715238 Enrollment ID: O20070803000596 |
| Entity Name | Epic Cardiology |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972836252 PECOS PAC ID: 5799811394 Enrollment ID: O20100408000185 |
| Entity Name | Epic Medical Group,inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295178689 PECOS PAC ID: 4385883958 Enrollment ID: O20130612000470 |
| Entity Name | Huntington Specialist & Nursing Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912378324 PECOS PAC ID: 8820399264 Enrollment ID: O20151209000956 |
| Entity Name | Derderyan Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457712309 PECOS PAC ID: 8325347396 Enrollment ID: O20160425002354 |
| Entity Name | Dr Oliver M Solomon Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609240126 PECOS PAC ID: 1951692219 Enrollment ID: O20160617000331 |
| Entity Name | Hassan Chahine MD Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245851815 PECOS PAC ID: 0547691297 Enrollment ID: O20200512003160 |
| Entity Name | Av Physicians Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366039612 PECOS PAC ID: 2860800240 Enrollment ID: O20210423001395 |
| Entity Name | Saab Progressive Medicine a Professional Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508567900 PECOS PAC ID: 1052786936 Enrollment ID: O20230406000586 |
| Entity Name | Jose Fernando Velasquez Saldarriaga MD |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245917244 PECOS PAC ID: 1850752403 Enrollment ID: O20230731001551 |
| Entity Name | Health Lync Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538908967 PECOS PAC ID: 4587109913 Enrollment ID: O20240710002338 |
| Entity Name | Socal Physician Partners APC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679425532 PECOS PAC ID: 9931684511 Enrollment ID: O20260401000499 |
| Mailing Address | Practice Location Address |
|---|---|
| Desirae Mutuc, FNP-C 23141 Verdugo Dr Ste 201, Laguna Hills, CA 92653-1341 Ph: Not Available | Desirae Mutuc, FNP-C 23141 Verdugo Dr Ste 201, Laguna Hills, CA 92653-1341 Ph: (949) 215-5055 |
Wenli Li, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25431 Cabot Rd Ste 118, Laguna Hills, CA 92653 Phone: 949-362-8877 |
Miss Corazon Escusa Francisco, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 23181 Verdugo Dr Ste 103a, Laguna Hills, CA 92653 Phone: 949-366-1053 |
Mrs. Christine Jeaneun Kim, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 23141 Moulton Pkwy Ste 213, Laguna Hills, CA 92653 Phone: 949-258-3741 Fax: 949-258-3742 |
Michelle Rhyner, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 23183 La Cadena Dr Ste 103, Laguna Hills, CA 92653 Phone: 714-838-8188 |
Tiffany Ann Cervenak, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 24012 Calle De La Plata, Suite 150, Laguna Hills, CA 92653 Phone: 949-837-1578 Fax: 949-837-8154 |
Maryam Fathy, DNP, MSN, RN, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 24451 Health Center Dr, Laguna Hills, CA 92653 Phone: 949-424-9730 Fax: 949-452-7599 |
Mr. Alan Masaaki Ooka, APRN, BC, P-MHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 23521 Paseo De Valencia, Suite 206a, Laguna Hills, CA 92653 Phone: 949-768-6845 Fax: 949-768-5124 |