| Keitha Latrice Pinckney, REGISTERED NURSE | |
|
320 E Palmdale Blvd, Palmdale, CA 93550-4598 | |
| (818) 654-3887 | |
| Not Available |
| Full Name | Keitha Latrice Pinckney |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 320 E Palmdale Blvd, Palmdale, 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 |
|---|---|---|---|
| 1952185050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95030270 (California) | Primary |
| 163W00000X | Registered Nurse | 95085009 (California) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern California Permanente Medical Group | 6002729175 | 11250 |
| Tarzana Treatment Centers Inc | 5991897845 | 55 |
| Tarzana Treatment Centers Inc | 5991897845 | 55 |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Entity Name | Tarzana Treatment Centers Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346842093 PECOS PAC ID: 5991897845 Enrollment ID: O20070822001488 |
| Mailing Address | Practice Location Address |
|---|---|
| Keitha Latrice Pinckney, REGISTERED NURSE 320 E Palmdale Blvd, Palmdale, CA 93550-4598 Ph: (818) 654-3887 | Keitha Latrice Pinckney, REGISTERED NURSE 320 E Palmdale Blvd, Palmdale, CA 93550-4598 Ph: (818) 654-3887 |
Wendy Macedo, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1011 Lockheed Way, Palmdale, CA 93599 Phone: 661-572-2190 Fax: 661-572-2150 |
Nnenna Uchechi Chimdi, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 38350 40th St E, Palmdale, CA 93552 Phone: 661-225-3050 |
Jeff Advincula, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 38460 5th St W Ste D, Palmdale, CA 93551 Phone: 661-273-1614 |
Lesly Catherine Barillas, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1535 Bengal Ct, Palmdale, CA 93551 Phone: 661-609-4689 |
Mrs. Chrystal Gill, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1120 W Avenue M4, Palmdale, CA 93551 Phone: 818-621-2786 |
Miss Stacey Jones, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2706 Senna Ln, Palmdale, CA 93551 Phone: 661-526-3945 |
Mrs. Bobbie Lee Tahar, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 520 W Palmdale Blvd Ste Q, Palmdale, CA 93551 Phone: 661-947-3300 |