| Latora Subani, | |
|
16179 Siskiyou Rd, Apple Valley, CA 92307-1314 | |
| (661) 267-6876 | |
| Not Available |
| Full Name | Latora Subani |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 16179 Siskiyou Rd, Apple Valley, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033649413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 95005753 (California) | Primary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 95005753 (California) | Secondary |
| Entity Name | Ridgecrest Regional Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447253125 PECOS PAC ID: 9739099896 Enrollment ID: O20060929000159 |
| Entity Name | Nexus Wound Consultants PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225875313 PECOS PAC ID: 2365974789 Enrollment ID: O20241010000606 |
| Entity Name | Wound Healing Care Center PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396548236 PECOS PAC ID: 1759800717 Enrollment ID: O20250522002983 |
| Mailing Address | Practice Location Address |
|---|---|
| Latora Subani, 3 Rue Monet, Foothill Ranch, CA 92610-2482 Ph: Not Available | Latora Subani, 16179 Siskiyou Rd, Apple Valley, CA 92307-1314 Ph: (661) 267-6876 |
Alma Luna, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16143 Kokanee Rd Ste C, Apple Valley, CA 92307 Phone: 760-242-6442 |
Brenda Ann Marin, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18031 Us Highway 18 Ste C, Apple Valley, CA 92307 Phone: 760-810-7631 |
Ashly Patricia Cameron, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18523 Corwin Rd Ste H, Apple Valley, CA 92307 Phone: 760-261-8462 |
Jonathan Portillo, AGACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18300 Us Highway 18, Apple Valley, CA 92307 Phone: 760-242-2311 |
Elizabeth Espinoza, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18300 Us Highway 18, Apple Valley, CA 92307 Phone: 760-242-2311 |
Mr. Jesus A Quinonez, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18300 Ca-18, Apple Valley, CA 92307 Phone: 760-242-2311 |
Mrs. Ashley M Morello, AGACNP-BC, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Universal Pain Management, 16179 Siskiyou, Apple Valley, CA 92307 Phone: 760-241-0350 Fax: 760-243-0738 |