| Fernando Rodriguez Vega, NP | |
|
1716 Ravenna Ave, Wilmington, CA 90744-1327 | |
| (310) 469-3753 | |
| Not Available |
| Full Name | Fernando Rodriguez Vega |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 1716 Ravenna Ave, Wilmington, 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 |
|---|---|---|---|
| 1477279578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95021310 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hollywood Presbyterian Medical Center | Los angeles, CA | Hospital |
| Providence Little Company Of Mary Med Ctr Torrance | Torrance, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Health Alliance Socal Inc | 4082082250 | 6 |
| Alliance For Wellness Inc | 9931355617 | 57 |
| Entity Name | Alliance For Wellness Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124329131 PECOS PAC ID: 9931355617 Enrollment ID: O20120813000228 |
| Entity Name | Health Alliance Socal Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184343055 PECOS PAC ID: 4082082250 Enrollment ID: O20221118000753 |
| Mailing Address | Practice Location Address |
|---|---|
| Fernando Rodriguez Vega, NP 1716 Ravenna Ave, Wilmington, CA 90744-1327 Ph: (310) 469-3753 | Fernando Rodriguez Vega, NP 1716 Ravenna Ave, Wilmington, CA 90744-1327 Ph: (310) 469-3753 |
Mrs. Carole King Stevenson, RN, MSN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1111 Figueroa Pl # Tech115, Wilmington, CA 90744 Phone: 310-233-4520 | |
Mrs. Vanilla P. Brooks, RNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1009 N Avalon Blvd, Wilmington, CA 90744 Phone: 310-549-5760 | |
Polyanna K Heng-lu, DNP, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1009 N Avalon Blvd, Wilmington, CA 90744 Phone: 310-549-5760 | |
Ms. Diana Linda Ortiz-castro, M.S.N. R.N. C-FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1325 Broad Ave, Wilmington, CA 90744 Phone: 310-518-8800 | |
Linda Joyce Takvorian, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 714 N Avalon Blvd, Wilmington, CA 90744 Phone: 310-522-4200 Fax: 310-878-0230 | |
Antoinette Laura, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1009 N Avalon Blvd, Wilmington, CA 90744 Phone: 310-549-5760 |