| Jaime Zeledon, NP | |
|
1695 S San Jacinto Ave Ste A-cd, San Jacinto, CA 92583-5103 | |
| (951) 330-3100 | |
| (951) 380-8596 |
| Full Name | Jaime Zeledon |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 1695 S San Jacinto Ave Ste A-cd, San Jacinto, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043666092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 95004298 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 95004298 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tobias Moeller-bertram Md Corporation | 1456586064 | 29 |
| Entity Name | Minuteclinic Diagnostic Medical Group Of California Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033309372 PECOS PAC ID: 8224191374 Enrollment ID: O20090115000289 |
| Entity Name | Minuteclinic Diagnostic Medical Group Of Orange County Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104013879 PECOS PAC ID: 5991868929 Enrollment ID: O20090116000214 |
| Entity Name | Minuteclinic Diagnostic Medical Group Of San Diego Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568659233 PECOS PAC ID: 2567520414 Enrollment ID: O20090127000249 |
| Entity Name | Tobias Moeller-bertram Md Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922440684 PECOS PAC ID: 1456586064 Enrollment ID: O20140128000459 |
| Mailing Address | Practice Location Address |
|---|---|
| Jaime Zeledon, NP 7726 Whitney Dr, Jurupa Valley, CA 92509-5434 Ph: (626) 827-7324 | Jaime Zeledon, NP 1695 S San Jacinto Ave Ste A-cd, San Jacinto, CA 92583-5103 Ph: (951) 330-3100 |
Sonia Ildelisa Betancourt, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 621 N State St, San Jacinto, CA 92583 Phone: 951-285-6115 | |
Linda S. Olson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1695 S San Jacinto Ave, Suite #a, San Jacinto, CA 92583 Phone: 951-665-1100 | |
Lisa Garcia, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1695 S San Jacinto Ave Ste A, San Jacinto, CA 92583 Phone: 951-665-1100 Fax: 951-665-1414 | |
Mrs. Sally L Long, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1166 Newberg Cmns, San Jacinto, CA 92582 Phone: 951-655-0443 | |
Michelle Chalico, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1579 S San Jacinto Ave, San Jacinto, CA 92583 Phone: 909-665-1100 | |
Ms. Martha Kim Izvernari, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1695 S. San Jacinto Ave, Suite L, San Jacinto, CA 92583 Phone: 951-654-8132 Fax: 951-654-8135 |