| Jose Banuelos, PMHNP-BC, FNP-C | |
|
69175 Ramon Rd Bldg A, Cathedral City, CA 92234-3344 | |
| (760) 321-6776 | |
| Not Available |
| Full Name | Jose Banuelos |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 69175 Ramon Rd Bldg A, Cathedral City, 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 |
|---|---|---|---|
| 1972165660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95013880 (California) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95013880 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Shasta Community Health Center | 3870579816 | 63 |
| Sokyahealth Medical Group Pc | 8628463015 | 180 |
| Entity Name | Shasta Community Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114533171 PECOS PAC ID: 3870579816 Enrollment ID: O20040629000721 |
| Entity Name | Dap Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306464326 PECOS PAC ID: 6002989522 Enrollment ID: O20100608000193 |
| Entity Name | Sokyahealth Medical Group PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942970330 PECOS PAC ID: 8628463015 Enrollment ID: O20220322001499 |
| Entity Name | Grow Healthcare Group PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
| Entity Name | Headlight Health Medical Group PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649064486 PECOS PAC ID: 2062996028 Enrollment ID: O20260318002185 |
| Entity Name | Mindspire Mental Health & Wellness Nursing Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316834724 PECOS PAC ID: 4284103631 Enrollment ID: O20260515000578 |
| Mailing Address | Practice Location Address |
|---|---|
| Jose Banuelos, PMHNP-BC, FNP-C 69175 Ramon Rd Bldg A, Cathedral City, CA 92234-3344 Ph: Not Available | Jose Banuelos, PMHNP-BC, FNP-C 69175 Ramon Rd Bldg A, Cathedral City, CA 92234-3344 Ph: (760) 321-6776 |
Brandi Marie Teegarden, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 68555 Ramon Rd, Cathedral City, CA 92234 Phone: 760-507-3310 |
Mrs. Laurie S. Hannan-reagan, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 67780 E Palm Canyon Dr, Cathedral City, CA 92234 Phone: 760-773-1680 |
Ms. Ashley Christina Davis, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 28245 Avenida Primavera, Cathedral City, CA 92234 Phone: 760-552-0640 |
Mrs. Monique Mester-robertson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 67780 E Palm Canyon Dr, Ste. 100, Cathedral City, CA 92234 Phone: 760-328-9312 |
Damiano De Sano Iocovozzi, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 34131 Date Palm Dr, Cathedral City, CA 92234 Phone: 760-770-4600 Fax: 760-770-1564 |
Emma Bermudez, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 69175 Ramon Rd Bldg A, Cathedral City, CA 92234 Phone: 714-404-1007 |
Annelise Millan, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 67555 E Palm Canyon Dr Ste C112, Cathedral City, CA 92234 Phone: 760-773-1680 Fax: 760-773-3144 |