| Kristine Albanio Domingo, NP | |
|
15248 Eleventh St, Victorville, CA 92395-3704 | |
| (760) 245-8691 | |
| Not Available |
| Full Name | Kristine Albanio Domingo |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 15248 Eleventh St, Victorville, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346008075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95029290 (California) | Primary |
| Entity Name | Seven Star Hospital Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043813140 PECOS PAC ID: 4789083338 Enrollment ID: O20210601002852 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristine Albanio Domingo, NP 14344 Lasselle St Apt 104, Moreno Valley, CA 92553-2958 Ph: (619) 944-7156 | Kristine Albanio Domingo, NP 15248 Eleventh St, Victorville, CA 92395-3704 Ph: (760) 245-8691 |
Bukola Gross, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13010 Hesperia Rd Ste 501, Victorville, CA 92395 Phone: 760-881-3717 | |
Jessica C Smith, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16850 Bear Valley Rd, Victorville, CA 92395 Phone: 760-241-8000 Fax: 760-241-0393 | |
Mrs. Shawntel Logan, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12760 Hesperia Rd Ste C, Victorville, CA 92395 Phone: 760-338-0911 | |
Krystle Ann Guzman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16850 Bear Valley Rd, Victorville, CA 92395 Phone: 760-241-8000 | |
Beth Ann Johnson, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12830 Hesperia Rd, Suite C-d-e, Victorville, CA 92395 Phone: 760-684-8999 | |
Noarie Iverie Magoun, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12677 Hesperia Rd Ste 130, Victorville, CA 92395 Phone: 760-241-7763 Fax: 760-241-6383 | |
Jose Manuel Ortega, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16850 Bear Valley Rd, Victorville, CA 92395 Phone: 760-241-8000 |