| Ignacio Guadarrama, NP | |
|
1161 3rd Ave, Chula Vista, CA 91911-3136 | |
| (619) 498-8260 | |
| (619) 498-8265 |
| Full Name | Ignacio Guadarrama |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 1161 3rd Ave, Chula Vista, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821331174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95003671 (California) | Primary |
| 163W00000X | Registered Nurse | 833793 (California) | Secondary |
| Entity Name | Centro De Salud De La Comunidad De San Ysidro, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124782685 PECOS PAC ID: 6901709435 Enrollment ID: O20040130000711 |
| Mailing Address | Practice Location Address |
|---|---|
| Ignacio Guadarrama, NP 1161 3rd Ave, Chula Vista, CA 91911-3136 Ph: (619) 498-8260 | Ignacio Guadarrama, NP 1161 3rd Ave, Chula Vista, CA 91911-3136 Ph: (619) 498-8260 |
Linda Helen Marshall, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 751 Medical Center Ct, Chula Vista, CA 91911 Phone: 619-502-5946 | |
Shulami Park Lee, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 353 H St, Chula Vista, CA 91910 Phone: 858-552-8585 Fax: 858-642-6325 | |
Stephanie Reittinger, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 865 3rd Ave Ste 101, Chula Vista, CA 91911 Phone: 619-426-7910 Fax: 619-426-2337 | |
Karen Vogel, APRN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 900 Lane Ave Ste 114, Chula Vista, CA 91914 Phone: 877-840-6956 Fax: 619-383-6701 | |
Sarah Ju Young Keum, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 450 4th Ave Ste 311, Chula Vista, CA 91910 Phone: 619-371-9156 | |
Genevieve Della Rosa Deutsch, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 765 Medical Center Ct Ste 209, Chula Vista, CA 91911 Phone: 619-427-8892 Fax: 619-422-7660 | |
Charles Brown, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 751 Medical Center Ct, Chula Vista, CA 91911 Phone: 760-201-6752 |