| Enrique Vitug, NP | |
|
640 S Sunset Ave Ste 202, West Covina, CA 91790-2808 | |
| (626) 480-8000 | |
| Not Available |
| Full Name | Enrique Vitug |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 640 S Sunset Ave Ste 202, West Covina, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639902414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95031814 (California) | Primary |
| Entity Name | Universal Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376632877 PECOS PAC ID: 2365332368 Enrollment ID: O20040315001597 |
| Entity Name | Molina Healthcare Of California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194811760 PECOS PAC ID: 7517957608 Enrollment ID: O20061101000348 |
| Entity Name | Sharwin Tafazoli Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447806278 PECOS PAC ID: 8729416953 Enrollment ID: O20200320002154 |
| Entity Name | Central Health Plan Of California, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386714772 PECOS PAC ID: 7416395736 Enrollment ID: O20240405001559 |
| Mailing Address | Practice Location Address |
|---|---|
| Enrique Vitug, NP 640 S Sunset Ave Ste 202, West Covina, CA 91790-2808 Ph: (626) 480-8000 | Enrique Vitug, NP 640 S Sunset Ave Ste 202, West Covina, CA 91790-2808 Ph: (626) 480-8000 |
Mrs. Claire Marie Tabares, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1115 S Sunset Ave, West Covina, CA 91790 Phone: 626-814-2547 | |
Moses Ewo, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 933 S Sunset Ave Ste 105, West Covina, CA 91790 Phone: 714-709-3154 | |
Bonnie Chu, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2707 E Valley Blvd Ste 208, West Covina, CA 91792 Phone: 626-581-0486 | |
Jettele Joy D Lara, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1135 S Sunset Ave Ste 401, West Covina, CA 91790 Phone: 626-732-8393 | |
Caroline Matibag Caspe, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 S Sunset Ave, West Covina, CA 91790 Phone: 626-960-6999 Fax: 626-960-5246 | |
Ms. Shylee Bautista Tiamson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 N Barranca St # 900-j, West Covina, CA 91791 Phone: 310-292-0117 | |
Mrs. Evangeline Baquiran Pelaez, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 N Barranca St Ste 900, West Covina, CA 91791 Phone: 626-206-0523 Fax: 626-206-0553 |