| Marcellina Johnson, PMHNP-BC | |
|
12215 Telegraph Rd Ste 107, Santa Fe Springs, CA 90670-3344 | |
| (925) 282-1778 | |
| (415) 296-5299 |
| Full Name | Marcellina Johnson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 18 Years |
| Location | 12215 Telegraph Rd Ste 107, Santa Fe Springs, 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 |
|---|---|---|---|
| 1346544830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 457076 (California) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 182456 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kaiser Foundation Hospital - Baldwin Park | Baldwin park, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern California Permanente Medical Group | 6002729175 | 11250 |
| Entity Name | Los Angeles County Department of Mental Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083633929 PECOS PAC ID: 7416869896 Enrollment ID: O20031104000319 |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Entity Name | Apex Emergency Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265711089 PECOS PAC ID: 4688844277 Enrollment ID: O20110909002790 |
| 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 |
| Entity Name | Salvage Psychiatry a Professional Nursing Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043937923 PECOS PAC ID: 4688044688 Enrollment ID: O20230428002145 |
| Mailing Address | Practice Location Address |
|---|---|
| Marcellina Johnson, PMHNP-BC 12215 Telegraph Rd Ste 107, Santa Fe Springs, CA 90670-3344 Ph: (925) 282-1778 | Marcellina Johnson, PMHNP-BC 12215 Telegraph Rd Ste 107, Santa Fe Springs, CA 90670-3344 Ph: (925) 282-1778 |
Bridget Kathleen Cleary, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12215 Telegraph Rd Ste 107, Santa Fe Springs, CA 90670 Phone: 925-282-1778 Fax: 415-296-5299 |
Ms. Diane Perdue, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12400 Bloomfield Ave, Santa Fe Springs, CA 90670 Phone: 562-789-5434 Fax: 562-863-1903 |
Blanca L Avalos-diaz, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9300 Santa Fe Springs Rd, Santa Fe Springs, CA 90670 Phone: 844-804-7727 |
Rachel Ann Ardoin, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11721 Telegraph Rd, Santa Fe Springs, CA 90670 Phone: 562-949-8455 |
Ms. Suzanne Marie Galletly, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11731 Telegraph Rd, Santa Fe Springs, CA 90670 Phone: 562-942-8256 |
Raziel Tago Orias, NP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 10513 Ponderosa Cir, Santa Fe Springs, CA 90670 Phone: 909-718-9111 |
Nnenna Caroline Iheaka, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12215 Telegraph Rd Ste 107, Santa Fe Springs, CA 90670 Phone: 925-282-1778 |