| Kenneth Wayne Nordlund, NP | |
|
58581 Us Highway 371 Ste F, G, H, Anza, CA 92539-9331 | |
| (951) 763-4759 | |
| Not Available |
| Full Name | Kenneth Wayne Nordlund |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 28 Years |
| Location | 58581 Us Highway 371 Ste F, G, H, Anza, 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 |
|---|---|---|---|
| 1356385082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN428808 (California) | Secondary |
| 363L00000X | Nurse Practitioner | NPF10271 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ahmc Anaheim Regional Medical Center | Anaheim, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Borrego Community Health Foundation | 1759299944 | 9 |
| Singh Md A Professional Medical | 8426584988 | 18 |
| Southern California Emergency Medicine | 8628128196 | 35 |
| Entity Name | Desert Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114918612 PECOS PAC ID: 8123930427 Enrollment ID: O20031229000246 |
| Entity Name | Borrego Community Health Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134144165 PECOS PAC ID: 1759299944 Enrollment ID: O20040122000961 |
| Entity Name | Southern California Emergency Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639314255 PECOS PAC ID: 8628128196 Enrollment ID: O20090604000499 |
| Entity Name | Premier Health Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609170232 PECOS PAC ID: 1759564396 Enrollment ID: O20110321000157 |
| Entity Name | Anaheim Emergency Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114626017 PECOS PAC ID: 9133585029 Enrollment ID: O20230518003235 |
| Entity Name | Singh Md A Professional Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336971514 PECOS PAC ID: 8426584988 Enrollment ID: O20241206001246 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Wayne Nordlund, NP 1695 N Sunrise Way, Palm Springs, CA 92262-3701 Ph: (760) 323-2118 | Kenneth Wayne Nordlund, NP 58581 Us Highway 371 Ste F, G, H, Anza, CA 92539-9331 Ph: (951) 763-4759 |
Jennifer Ann Conrad, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 41755 Heller Springs Rd, Anza, CA 92539 Phone: 951-323-3337 |