Mario H Vega, PMHNP | |
17310 Bear Valley Rd # V101, Victorville, CA 92395-7773 | |
(679) 876-0660 | |
Not Available |
Full Name | Mario H Vega |
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Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 17310 Bear Valley Rd # V101, 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 |
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1275213332 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95026072 (California) | Primary |
Entity Name | Inland Psychiatric Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649217761 PECOS PAC ID: 9436062312 Enrollment ID: O20031106000736 |
Mailing Address | Practice Location Address |
---|---|
Mario H Vega, PMHNP 10265 Cotoneaster St, Apple Valley, CA 92308-3324 Ph: (760) 912-4659 | Mario H Vega, PMHNP 17310 Bear Valley Rd # V101, Victorville, CA 92395-7773 Ph: (679) 876-0660 |
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 Frazier, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16850 Bear Valley Rd, Victorville, CA 92395 Phone: 760-241-8000 | |
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 | |
Cindy Alvarez, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11857 Elliot Way, Victorville, CA 92392 Phone: 818-400-5438 |