| Jacqueline Bayading Chan, | |
|
4312 Woodman Ave Ste 300, Sherman Oaks, CA 91423-5514 | |
| (818) 922-2129 | |
| (818) 922-2025 |
| Full Name | Jacqueline Bayading Chan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 4312 Woodman Ave Ste 300, Sherman Oaks, 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 |
|---|---|---|---|
| 1770240434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95017629 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gentle Loving Care | Glendale, CA | Home health agency |
| Sera Healthcare | Burbank, CA | Home health agency |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prohealth Internal Medicine Inc | 6709328396 | 2 |
| Entity Name | Prohealth Internal Medicine Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912772047 PECOS PAC ID: 6709328396 Enrollment ID: O20240611002499 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline Bayading Chan, 20639 Lemmer St, Chatsworth, CA 91311-4502 Ph: (818) 519-6072 | Jacqueline Bayading Chan, 4312 Woodman Ave Ste 300, Sherman Oaks, CA 91423-5514 Ph: (818) 922-2129 |
Sonya Hallabyan, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4419 Van Nuys Blvd Ste 403, Sherman Oaks, CA 91403 Phone: 705-710-0747 |
Somaly Sith, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4849 Van Nuys Blvd # 202, Sherman Oaks, CA 91403 Phone: 404-213-0453 |
Sabrina Ginzburg, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4603 Kester Ave, Sherman Oaks, CA 91403 Phone: 612-607-9290 |
Mrs. Allison W Dolphin, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14735 Ventura Blvd, Sherman Oaks, CA 91403 Phone: 818-788-0208 |
Jennifer Quandt Nunez, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15477 Ventura Blvd, Sherman Oaks, CA 91403 Phone: 818-907-0322 |
Laura Marie Cortez, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5651 Sepulveda Blvd Ste 201, Sherman Oaks, CA 91411 Phone: 818-788-2400 |
Susan Angie Tamale, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 4929 Van Nuys Blvd, Sherman Oaks, CA 91403 Phone: 818-907-2825 |