| Desiree Jayne Leal, FNP | |
|
501 6th St, Taft, CA 93268-2704 | |
| (661) 763-5131 | |
| (661) 763-5137 |
| Full Name | Desiree Jayne Leal |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 501 6th St, Taft, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154089068 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F11210766 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 2021104508 (California) | Primary |
| Entity Name | Emergency Physicians Urgent Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689963845 PECOS PAC ID: 8527234418 Enrollment ID: O20111227000049 |
| Mailing Address | Practice Location Address |
|---|---|
| Desiree Jayne Leal, FNP 501 6th St, Taft, CA 93268-2704 Ph: (661) 763-5131 | Desiree Jayne Leal, FNP 501 6th St, Taft, CA 93268-2704 Ph: (661) 763-5131 |
Mr. Randal Trent Taylor, MSN, FNP-C, RN, EMTP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 E North St, Taft, CA 93268 Phone: 661-765-1935 | |
Heather Keith, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 E North St, Taft, CA 93268 Phone: 661-765-1935 Fax: 661-765-1928 | |
Mrs. Heather Bosma, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 E North St, Taft, CA 93268 Phone: 661-765-1935 Fax: 661-765-1928 | |
Elizabeth Marie Bell, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 119 Adkisson Way, Taft, CA 93268 Phone: 661-765-7234 | |
Ms. Janice Lee Ashley, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1100 4th St, Taft, CA 93268 Phone: 661-765-5044 |