| Eddie Hernandez Gonzalez, | |
|
12740 Hesperia Rd Ste B, Victorville, CA 92395-8306 | |
| (760) 713-6969 | |
| Not Available |
| Full Name | Eddie Hernandez Gonzalez |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 12740 Hesperia Rd Ste B, Victorville, 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 |
|---|---|---|---|
| 1871234138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95020273 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Mary Medical Center | Apple valley, CA | Hospital |
| Desert Valley Hospital | Victorville, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Razi Medical Group Inc | 1456580737 | 8 |
| Entity Name | Razi Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295165645 PECOS PAC ID: 1456580737 Enrollment ID: O20140225000110 |
| Mailing Address | Practice Location Address |
|---|---|
| Eddie Hernandez Gonzalez, 12740 Hesperia Rd Ste B, Victorville, CA 92395-8306 Ph: (760) 713-6969 | Eddie Hernandez Gonzalez, 12740 Hesperia Rd Ste B, Victorville, CA 92395-8306 Ph: (760) 713-6969 |
Bukola Gross, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13010 Hesperia Rd Ste 501, Victorville, CA 92395 Phone: 760-881-3717 | |
Jessica C Smith, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16850 Bear Valley Rd, Victorville, CA 92395 Phone: 760-241-8000 Fax: 760-241-0393 | |
Mrs. Shawntel Logan, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12760 Hesperia Rd Ste C, Victorville, CA 92395 Phone: 760-338-0911 | |
Krystle Ann Guzman, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16850 Bear Valley Rd, Victorville, CA 92395 Phone: 760-241-8000 | |
Beth Ann Johnson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12830 Hesperia Rd, Suite C-d-e, Victorville, CA 92395 Phone: 760-684-8999 | |
Noarie Iverie Magoun, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12677 Hesperia Rd Ste 130, Victorville, CA 92395 Phone: 760-241-7763 Fax: 760-241-6383 | |
Jose Manuel Ortega, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16850 Bear Valley Rd, Victorville, CA 92395 Phone: 760-241-8000 |