| Kimberly Mulloy Jones, PA | |
|
21835 Ventura Blvd, Woodland Hills, CA 91364-1838 | |
| (818) 600-7348 | |
| Not Available |
| Full Name | Kimberly Mulloy Jones |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 21835 Ventura Blvd, Woodland Hills, 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 |
|---|---|---|---|
| 1528583382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (New York) | Secondary |
| 363A00000X | Physician Assistant | PA61300 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fairchild Medical Center | Yreka, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carbon Health Medical Group Of California Pc | 9032340047 | 335 |
| Mend Health Inc | 6406160803 | 14 |
| Siskiyou Hospital Inc | 1254223134 | 96 |
| Entity Name | San Fernando Valley Vascular Group a Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518014463 PECOS PAC ID: 0749217560 Enrollment ID: O20050725000164 |
| Entity Name | Carbon Health Medical Group of California PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417294232 PECOS PAC ID: 9032340047 Enrollment ID: O20140314001276 |
| Entity Name | Mend Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467849745 PECOS PAC ID: 6406160803 Enrollment ID: O20150729008949 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Mulloy Jones, PA 21835 Ventura Blvd, Woodland Hills, CA 91364-1838 Ph: (818) 600-7348 | Kimberly Mulloy Jones, PA 21835 Ventura Blvd, Woodland Hills, CA 91364-1838 Ph: (818) 600-7348 |
Karin L Nielsen, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5601 De Soto Ave, Woodland Hills, CA 91367 Phone: 818-719-2000 |
Mr. Richard Linn Blada, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6301 Owensmouth Ave, #200 The Wellness Center, Woodland Hills, CA 91367 Phone: 818-704-2914 Fax: 818-712-2100 |
Denice I O'bryan, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 5601 De Soto Ave, Woodland Hills, CA 91367 Phone: 818-719-2000 |
Sabrina Roofian, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 23067 Ventura Blvd Ste 200, Woodland Hills, CA 91364 Phone: 818-598-0000 |
Tatyana Mitina, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5601 De Soto Ave, Woodland Hills, CA 91367 Phone: 818-719-2000 |
Mr. Darryl De Haas, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5601 De Soto Avenue, Kaiser, Woodland Hills Medical Cent, Woodland Hills, CA 91367 Phone: 818-719-2000 |
Breana Christine Coville, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6316 Topanga Canyon Blvd Ste 406, Woodland Hills, CA 91367 Phone: 805-427-4231 Fax: 805-206-2133 |