| Jennifer Vida Diego Callueng, NP | |
|
14051 Ramona Pkwy, Baldwin Park, CA 91706-4114 | |
| (626) 960-3753 | |
| (626) 962-9866 |
| Full Name | Jennifer Vida Diego Callueng |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 14051 Ramona Pkwy, Baldwin Park, 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 |
|---|---|---|---|
| 1518589944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95014306 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Infinity Mobile Medical Group | 7214466374 | 20 |
| Entity Name | M D Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124051578 PECOS PAC ID: 7618922113 Enrollment ID: O20050317000551 |
| Entity Name | Baldwin Park Medical Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750728663 PECOS PAC ID: 9133350093 Enrollment ID: O20140319000248 |
| Entity Name | Mobile Physicians Medical Allied Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184199275 PECOS PAC ID: 7810233491 Enrollment ID: O20190326000349 |
| Entity Name | Infinity Mobile Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912727835 PECOS PAC ID: 7214466374 Enrollment ID: O20250120000097 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Vida Diego Callueng, NP 14051 Ramona Pkwy, Baldwin Park, CA 91706-4114 Ph: (626) 960-3753 | Jennifer Vida Diego Callueng, NP 14051 Ramona Pkwy, Baldwin Park, CA 91706-4114 Ph: (626) 960-3753 |
Chansun Chung, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-851-1011 |
Charlie A Evanilla, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-851-1011 |
Diana P Leyva, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14362 Ramona Blvd, Baldwin Park, CA 91706 Phone: 626-337-0676 |
Veronica F Clinkscales, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-851-1011 |
Teresa Rowson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-851-1011 |
Aida Gomez, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-851-1011 |
Julie M Marenco, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-851-1011 |