| Jacob Carpenter, FNP-C | |
|
45104 10th St W, Lancaster, CA 93534-2310 | |
| (661) 942-2391 | |
| Not Available |
| Full Name | Jacob Carpenter |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 45104 10th St W, Lancaster, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295199263 | NPI | - | NPPES |
| 95004394 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95004394 (California) | Primary |
| Entity Name | Mathias Primary Care Associates, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508524083 PECOS PAC ID: 0345633046 Enrollment ID: O20220201001736 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Carpenter, FNP-C 45104 10th St W, Lancaster, CA 93534-2310 Ph: (661) 942-2391 | Jacob Carpenter, FNP-C 45104 10th St W, Lancaster, CA 93534-2310 Ph: (661) 942-2391 |
Gabriela Gorostieta, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 43535 17th St W Ste 402, Lancaster, CA 93534 Phone: 818-239-9530 |
Christina Garst, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 415 East Avenue I, Lancaster, CA 93535 Phone: 661-522-6770 |
Shalonte Allen-carrasquillo, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 43322 Gingham Ave, Lancaster, CA 93535 Phone: 661-874-4050 |
Jill Diane Jepson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 44151 15th St W, Suite 101, Lancaster, CA 93534 Phone: 661-902-5600 |
Gigi Hammang, MSN, RNC, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 547 W Lancaster Blvd, Lancaster, CA 93534 Phone: 661-729-8655 |
Martin Vasquez, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 W Avenue J, Lancaster, CA 93534 Phone: 661-949-5000 |
Margaret Louise Mcilroy, DNP APRN CNM PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 506 W Jackman St, Lancaster, CA 93534 Phone: 661-726-2850 Fax: 661-726-2854 |