| Krista Fendrick, PA-C | |
|
26024 Acero, Mission Viejo, CA 92691-2768 | |
| (714) 545-5550 | |
| (949) 768-5124 |
| Full Name | Krista Fendrick |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 14 Years |
| Location | 26024 Acero, Mission Viejo, 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 |
|---|---|---|---|
| 1316297286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA22477 (California) | Secondary |
| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | PA22477 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pacific Neuropsychiatric Specialists Inc | 3375796170 | 70 |
| Entity Name | Pacific Neuropsychiatric Specialists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356685218 PECOS PAC ID: 3375796170 Enrollment ID: O20130103000082 |
| Mailing Address | Practice Location Address |
|---|---|
| Krista Fendrick, PA-C 19782 Macarthur Blvd Ste 300, Irvine, CA 92612-2417 Ph: (714) 545-5550 | Krista Fendrick, PA-C 26024 Acero, Mission Viejo, CA 92691-2768 Ph: (714) 545-5550 |
Rachel Sabbagh, RN, PMHCNS-BC Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 27700 Medical Center Rd, Mission Viejo, CA 92691 Phone: 949-364-1400 |
Edward Allen Covey, RNFA Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 27401 Los Altos, Mission Viejo, CA 92691 Phone: 949-582-9624 |
Ms. Jennifer Brunn, Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 27700 Medical Center Rd, Mission Viejo, CA 92691 Phone: 909-838-1577 |