| King Nino Diaz, | |
|
100 W California Blvd, Pasadena, CA 91105-3010 | |
| (855) 522-7898 | |
| Not Available |
| Full Name | King Nino Diaz |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 100 W California Blvd, Pasadena, 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 |
|---|---|---|---|
| 1144841172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 95034277 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 95016752 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Exer Medical Corporation | 9032359534 | 330 |
| Prime Valley Medical Center Inc | 3971016494 | 5 |
| Entity Name | Anaheim Urgent Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962680033 PECOS PAC ID: 8325118029 Enrollment ID: O20080606000728 |
| Entity Name | Exer Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588901532 PECOS PAC ID: 9032359534 Enrollment ID: O20130705000153 |
| Entity Name | Diaz Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669139945 PECOS PAC ID: 1052707403 Enrollment ID: O20220412000303 |
| Mailing Address | Practice Location Address |
|---|---|
| King Nino Diaz, Po Box 60259, Los Angeles, CA 90060-0259 Ph: (877) 346-2211 | King Nino Diaz, 100 W California Blvd, Pasadena, CA 91105-3010 Ph: (855) 522-7898 |
Sarah Stephens, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 W California Blvd, Pasadena, CA 91105 Phone: 626-397-8300 Fax: 626-697-8337 | |
Mrs. Jessica Alexandra Monzon, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Planned Parenthood, 1045 N Lake Ave, Pasadena, CA 91104 Phone: 626-798-0706 | |
Nwamaka Nwosu, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 117 E Colorado Blvd Ste 600, Pasadena, CA 91105 Phone: 844-735-1418 | |
Catarina Kitchi Lam, RN,NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1495 N Mar Vista Ave, Pasadena, CA 91104 Phone: 626-757-1723 | |
Giselle Jennifer Jones, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Po Box 50361, Pasadena, CA 91115 Phone: 805-377-3880 | |
Charlene Reed Frando, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2750 E Washington Blvd Ste 230, Pasadena, CA 91107 Phone: 626-296-8900 | |
Camille Ivy Medina, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 W California Blvd, Pasadena, CA 91105 Phone: 626-397-5000 |