| Jenna Nagata Nakagawa, PA | |
|
300 Corporate Pointe Ste 465, Culver City, CA 90230-8706 | |
| (323) 203-0070 | |
| (310) 561-1902 |
| Full Name | Jenna Nagata Nakagawa |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 300 Corporate Pointe Ste 465, Culver City, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083913180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA21419 (California) | Primary |
| Entity Name | Medzed Physician Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366807760 PECOS PAC ID: 0547556540 Enrollment ID: O20160830002700 |
| Entity Name | Adobe PH Ca Medical Group PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427889195 PECOS PAC ID: 8820529761 Enrollment ID: O20241003000846 |
| Mailing Address | Practice Location Address |
|---|---|
| Jenna Nagata Nakagawa, PA 3711 Fenn St., Irvine, CA 92614 Ph: (626) 278-2351 | Jenna Nagata Nakagawa, PA 300 Corporate Pointe Ste 465, Culver City, CA 90230-8706 Ph: (323) 203-0070 |
Jordan Maria Diaz, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3861 Sepulveda Blvd, Culver City, CA 90230 Phone: 310-450-4773 |
Shamim Mohamed Remtulla, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8900 Venice Blvd Ste 109, Culver City, CA 90232 Phone: 424-282-5696 |
Mrs. Ashley Ambers, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10458 Culver Blvd, Culver City, CA 90232 Phone: 310-423-4766 Fax: 310-423-0008 |
Walter Thomas, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 12044 Braddock Dr, Culver City, CA 90230 Phone: 310-398-6408 |
Nilufer S Rustomji, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6167 Bristol Pkwy Ste 425, Culver City, CA 90230 Phone: 310-237-1833 |
Mrs. Sara A Caan Van Leeuwen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10100 Culver Blvd Ste E, Culver City, CA 90232 Phone: 310-423-3333 Fax: 310-423-1300 |
Theodawn Brown, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3831 Hughes Ave, Suite 705, Culver City, CA 90232 Phone: 213-253-2677 Fax: 213-253-5082 |