| Ethel Antonio, NP | |
|
31194 La Baya Dr, Westlake Village, CA 91362-4022 | |
| (805) 341-3416 | |
| (818) 369-0197 |
| Full Name | Ethel Antonio |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 31194 La Baya Dr, Westlake Village, 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 |
|---|---|---|---|
| 1386778967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95007507 (California) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95007507 (California) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Find Your Balance Therapy Center And Family Services A Professional Co | 0941746556 | 4 |
| Zenmedicine | 3577800390 | 9 |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Entity Name | Healthcare Partners Affiliates Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659312593 PECOS PAC ID: 7315842002 Enrollment ID: O20031204001258 |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
| Entity Name | Mission City Community Network, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710102009 PECOS PAC ID: 1658264684 Enrollment ID: O20040204000544 |
| Entity Name | Foothills Psychological Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336121888 PECOS PAC ID: 9436157534 Enrollment ID: O20100318000835 |
| Entity Name | Foothills Psychological Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336121888 PECOS PAC ID: 9436157534 Enrollment ID: O20100414000905 |
| Entity Name | Lakeside Medical Organization a Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831426642 PECOS PAC ID: 7618005166 Enrollment ID: O20100505000015 |
| Entity Name | Newcare Medical Group - a Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194039826 PECOS PAC ID: 6800070905 Enrollment ID: O20110414000570 |
| Entity Name | Zenmedicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821567488 PECOS PAC ID: 3577800390 Enrollment ID: O20190131001969 |
| Entity Name | Find Your Balance Therapy Center & Family Services a Professional Cor |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801405014 PECOS PAC ID: 0941746556 Enrollment ID: O20240719000093 |
| Entity Name | Psychiatry and Mental Health a Physician Assistant Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538044565 PECOS PAC ID: 8325531205 Enrollment ID: O20260421000249 |
| Entity Name | Sabira Saifuddin MD a Medical Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033683875 PECOS PAC ID: 8820568496 Enrollment ID: O20260525000267 |
| Mailing Address | Practice Location Address |
|---|---|
| Ethel Antonio, NP 31194 La Baya Dr, Westlake Village, CA 91362-4022 Ph: (805) 341-3416 | Ethel Antonio, NP 31194 La Baya Dr, Westlake Village, CA 91362-4022 Ph: (805) 341-3416 |
Mrs. Jennifer Salerno, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 860 Hampshire Rd Ste I, Westlake Village, CA 91361 Phone: 805-358-1222 |
Ms. Barbara Janine Lee, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 910 Hampshire Rd Ste A, Westlake Village, CA 91361 Phone: 805-379-9110 Fax: 888-972-9656 |
Marichu Quizon Cortes, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 125 Auburn Ct Ste 220, Westlake Village, CA 91362 Phone: 805-360-5205 |
Linda Ann Woody-godsave, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1250 La Venta Dr Ste 112, Westlake Village, CA 91361 Phone: 805-496-5153 Fax: 805-496-5202 |
Dr. Joan K Dawson, PSY.D. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 31824 Village Center Rd, Suite E, Westlake Village, CA 91361 Phone: 818-991-1063 Fax: 818-991-1064 |
Denise Marie Carlton, MSN, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1220 La Venta Dr, Suite 209, Westlake Village, CA 91361 Phone: 805-497-9119 Fax: 805-497-4199 |
Antonio Alberto Diaz Cooper, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5743 Corsa Ave Ste 112, Westlake Village, CA 91362 Phone: 805-790-5300 |