| Kevin John S Joseph, NP | |
|
611 Gateway Blvd Ste 120, South San Francisco, CA 94080-7066 | |
| (650) 761-4056 | |
| Not Available |
| Full Name | Kevin John S Joseph |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Acute Care |
| Location | 611 Gateway Blvd Ste 120, South San Francisco, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447902101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 95017545 (California) | Primary |
| Entity Name | Faculty Physicians And Surgeons Of Llusm |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981 |
| Entity Name | Faculty Physicians And Surgeons Of Llusm |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508255175 PECOS PAC ID: 1153227814 Enrollment ID: O20160216002196 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin John S Joseph, NP 26506 Poppy Ct, Loma Linda, CA 92354-6736 Ph: (909) 800-8651 | Kevin John S Joseph, NP 611 Gateway Blvd Ste 120, South San Francisco, CA 94080-7066 Ph: (650) 761-4056 |
Angela Cricchio Hull, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 192 Beacon St, South San Francisco, CA 94080 Phone: 650-589-6500 Fax: 661-678-4534 | |
Jane Lombardo, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1120 Veterans Blvd, South San Francisco, CA 94080 Phone: 650-244-2616 | |
Adebimpe Blessing Ogunsefunmi, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 611 Gateway Blvd Ste 120, South San Francisco, CA 94080 Phone: 650-761-4056 | |
John Sevilla, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11 Waverly Ct, South San Francisco, CA 94080 Phone: 650-303-1860 | |
Genevieve Gertrude Dy, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 El Camino Real, South San Francisco, CA 94080 Phone: 650-742-2100 | |
Mr. Thomas Michael Grothe, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 El Camino Real, South San Francisco, CA 94080 Phone: 650-742-2857 | |
Mrs. Aimee Dumlao Camano, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1488 El Camino Real Unit 225, South San Francisco, CA 94080 Phone: 858-722-9667 |