| Marisa Velasquez, | |
|
18031 Victory Blvd, Reseda, CA 91335-6421 | |
| (559) 920-2922 | |
| Not Available |
| Full Name | Marisa Velasquez |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 18031 Victory Blvd, Reseda, 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 |
|---|---|---|---|
| 1942897376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LW0102X | Nurse Practitioner - Women's Health | 95016627 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Facey Medical Foundation | 3173436276 | 322 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Marisa Velasquez, 18031 Victory Blvd, Reseda, CA 91335-6421 Ph: (559) 920-2922 | Marisa Velasquez, 18031 Victory Blvd, Reseda, CA 91335-6421 Ph: (559) 920-2922 |
Jiyeon Kim, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18107 Sherman Way Ste 200, Reseda, CA 91335 Phone: 818-783-1002 | |
Adrean Kentray Knight, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7150 Tampa Ave, Reseda, CA 91335 Phone: 888-227-3745 | |
Ms. Lydia Kay Wilson, GNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18855 Victory Blvd, Attn: Billing Department, Reseda, CA 91335 Phone: 818-774-3354 Fax: 818-757-4401 | |
Elizabeth Ruth Caballero, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7601 Canby Ave, Reseda, CA 91335 Phone: 818-814-3936 | |
Shenelle Gunatilake, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18908 Strathern St, Reseda, CA 91335 Phone: 818-414-1175 | |
Mano Hovasapyan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8054 Nestle Ave, Reseda, CA 91335 Phone: 530-500-5550 | |
Mrs. Elizabeth Videla Lalane, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19353 Victory Blvd., Reseda, CA 91335 Phone: 818-996-4742 |