| Jennifer Jardeleza Crisostomo, NURSE PRACTITIONER | |
|
235 E Badillo St, Covina, CA 91723-2116 | |
| (626) 915-4700 | |
| (626) 214-7815 |
| Full Name | Jennifer Jardeleza Crisostomo |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 235 E Badillo St, Covina, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659020576 | NPI | - | NPPES |
| 95019457 | Other | CA | BRN |
| F08210863 | Other | CA | AANPCB |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95019457 (California) | Primary |
| Entity Name | Foothill Cardiology Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255382545 PECOS PAC ID: 8527049261 Enrollment ID: O20040527000831 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Jardeleza Crisostomo, NURSE PRACTITIONER Po Box 80011, City Of Industry, CA 91716-8011 Ph: (626) 793-2885 | Jennifer Jardeleza Crisostomo, NURSE PRACTITIONER 235 E Badillo St, Covina, CA 91723-2116 Ph: (626) 915-4700 |
Maria Theresa Lee Belonio, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 970 S Village Oaks Dr Ste 106, Covina, CA 91724 Phone: 626-331-8001 | |
Na Yeon Han, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 110 N 4th Ave, Covina, CA 91723 Phone: 626-859-6400 | |
Andy Wu, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1381 N Sunflower Ave, Covina, CA 91724 Phone: 626-488-1802 | |
Kayla Marie Garcia, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 410 W Badillo St Ste 200, Covina, CA 91723 Phone: 626-335-1082 | |
Victoria Li, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 210 W San Bernardino Rd, Covina, CA 91723 Phone: 626-331-7331 | |
Stephanie E Fletes, CNM-WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 527 W Workman St, Covina, CA 91723 Phone: 626-627-3402 | |
Mrs. Manmit Kaur Anand, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 20540 E Arrow Hwy Ste A, Covina, CA 91724 Phone: 626-513-7497 Fax: 626-513-7497 |