| Gerardo Albert Regalado, FNP | |
|
403 W F St, Ontario, CA 91762-3207 | |
| (909) 988-3288 | |
| (909) 988-6767 |
| Full Name | Gerardo Albert Regalado |
|---|---|
| Gender | Male |
| Speciality | Registered Nurse |
| Location | 403 W F St, Ontario, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245631365 | NPI | - | NPPES |
| 730185 | Other | CA | REGISTERED NURSE |
| 95001261 | Other | CA | NURSE PRACTITIONER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 95001261 (California) | Primary |
| 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 | R. Ruiz, M.d., A Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578599809 PECOS PAC ID: 4981592391 Enrollment ID: O20040308000956 |
| Mailing Address | Practice Location Address |
|---|---|
| Gerardo Albert Regalado, FNP 403 W F St, Ontario, CA 91762-3207 Ph: (909) 988-3288 | Gerardo Albert Regalado, FNP 403 W F St, Ontario, CA 91762-3207 Ph: (909) 988-3288 |
Irene Bacus, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3330 Centre Lake Dr, Ontario, CA 91761 Phone: 909-974-4704 | |
Dawn Camille Ruano, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 950 W D St, Ontario, CA 91762 Phone: 909-239-8366 | |
Johanna Andrea Lancheros, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1740 E D St, Ontario, CA 91764 Phone: 909-215-4668 | |
Sarah Yvette Sotelo, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2940 Inland Empire Blvd, Ontario, CA 91764 Phone: 714-705-9140 | |
Ada Mbai, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1110 N Solano Privado Apt B, Ontario, CA 91764 Phone: 412-537-8982 | |
Martinique N Cisneros, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 826 S Oaks Ave, Ontario, CA 91762 Phone: 909-247-5842 | |
Taekyung Cha, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1308 N Isadora Way, Ontario, CA 91764 Phone: 701-202-4296 |