| Kavitha Elangovan, FNP | |
|
5227 Prospectors Pkwy, Riverbank, CA 95367-9434 | |
| (209) 589-4881 | |
| Not Available |
| Full Name | Kavitha Elangovan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 5227 Prospectors Pkwy, Riverbank, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194305649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95017115 (California) | Primary |
| Entity Name | County Of San Joaquin |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801830583 PECOS PAC ID: 6002703436 Enrollment ID: O20040301001287 |
| Entity Name | San Joaquin Faculty Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225063761 PECOS PAC ID: 4082631395 Enrollment ID: O20051026000742 |
| Mailing Address | Practice Location Address |
|---|---|
| Kavitha Elangovan, FNP 5227 Prospectors Pkwy, Riverbank, CA 95367-9434 Ph: (209) 589-4881 | Kavitha Elangovan, FNP 5227 Prospectors Pkwy, Riverbank, CA 95367-9434 Ph: (209) 589-4881 |
Ms. Lorraine Marie Romero, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4150 Patterson Rd, Riverbank, CA 95367 Phone: 209-863-3990 Fax: 209-863-3999 | |
Nancy Cisneros, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2230 Cherry Tree Ln, Riverbank, CA 95367 Phone: 209-380-4242 | |
Courtney Tripp, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2603 Patterson Rd, Suite 2, Riverbank, CA 95367 Phone: 209-869-7402 | |
Gia Samantha Smith, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2290 Mccaffrey Ln, Riverbank, CA 95367 Phone: 209-614-7455 | |
Ms. Margo Diane Sutton, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4150 Patterson Road, Riverbank, CA 95367 Phone: 209-863-3990 Fax: 209-863-3999 | |
Richard Peter Obaldo Jacinto, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2862 Sierra Gold Ct, Riverbank, CA 95367 Phone: 916-825-9806 |