| Ijeoma H Ezemonye, NP | |
|
5831 Firestone Blvd Ste E, South Gate, CA 90280-3718 | |
| (562) 806-7545 | |
| Not Available |
| Full Name | Ijeoma H Ezemonye |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 5831 Firestone Blvd Ste E, South Gate, 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 |
|---|---|---|---|
| 1396257382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 95007825 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| El Dorado Community Service Center | 4183672645 | 2 |
| 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 | El Dorado Community Service Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700882156 PECOS PAC ID: 4183672645 Enrollment ID: O20050111000696 |
| Mailing Address | Practice Location Address |
|---|---|
| Ijeoma H Ezemonye, NP 5831 Firestone Blvd Ste E, South Gate, CA 90280-3718 Ph: (562) 806-7545 | Ijeoma H Ezemonye, NP 5831 Firestone Blvd Ste E, South Gate, CA 90280-3718 Ph: (562) 806-7545 |
Mr. Anthony Delovino Lista, APRN-CNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8627 Atlantic Ave, South Gate, CA 90280 Phone: 888-499-9303 | |
Ednagrace Guillen, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3050 Tweedy Blvd, South Gate, CA 90280 Phone: 323-357-0700 | |
Mrs. Madoka Arai Barrientos, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8627 Atlantic Ave, South Gate, CA 90280 Phone: 888-499-9303 Fax: 323-562-3903 | |
Jacqueline Osegueda Cuevas, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3314 Firestone Blvd, South Gate, CA 90280 Phone: 213-338-8387 Fax: 213-337-8739 | |
Mr. Andrew David Szalas, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3529 Firestone Blvd, South Gate, CA 90280 Phone: 323-566-1700 Fax: 323-566-3816 | |
Alicia Danielle Monazzam, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4067 Tweedy Blvd, South Gate, CA 90280 Phone: 323-569-1126 | |
Victoria Garcia, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11320 Garfield Ave, South Gate, CA 90280 Phone: 562-334-7809 |