| Dominick Rey Amparano, | |
|
18300 Roscoe Blvd, Northridge, CA 91325-4167 | |
| (818) 885-8500 | |
| (818) 727-0893 |
| Full Name | Dominick Rey Amparano |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 18300 Roscoe Blvd, Northridge, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023797321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95025957 (California) | Primary |
| Entity Name | Golden State Orthopedics & Spine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972552990 PECOS PAC ID: 8224940739 Enrollment ID: O20031103000721 |
| Entity Name | Regents Of The Univ Of Ca |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013906973 PECOS PAC ID: 3375456619 Enrollment ID: O20031111000892 |
| Entity Name | Sutter Bay Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909 |
| Mailing Address | Practice Location Address |
|---|---|
| Dominick Rey Amparano, 409 Springfield Ct, Brentwood, CA 94513-2422 Ph: (415) 720-6489 | Dominick Rey Amparano, 18300 Roscoe Blvd, Northridge, CA 91325-4167 Ph: (818) 885-8500 |
Ararat Apelian, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18350 Roscoe Blvd Ste 714, Northridge, CA 91325 Phone: 818-796-2920 | |
Mrs. Alicia E Lane, FNP-BC, BSN, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19346 Nordhoff St, Northridge, CA 91324 Phone: 818-727-2040 | |
Mrs. Michelle Paige Birdsall, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18300 Roscoe Blvd, Northridge, CA 91325 Phone: 818-885-8500 | |
Louise Anne Villanueva, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8628 Reseda Blvd, Northridge, CA 91324 Phone: 818-361-5437 | |
Riffat Khan, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18300 Roscoe Blvd, Northridge, CA 91325 Phone: 818-885-3577 | |
Angelo Soriano, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18300 Roscoe Blvd, Northridge, CA 91325 Phone: 818-885-8500 |