| Marvin Buenaventura, | |
|
129 E Ridgecrest Blvd, Ridgecrest, CA 93555-3918 | |
| (760) 463-1613 | |
| (760) 463-1614 |
| Full Name | Marvin Buenaventura |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Primary Care |
| Location | 129 E Ridgecrest Blvd, Ridgecrest, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790481521 | NPI | - | NPPES |
| 95023469 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 95023469 (California) | Primary |
| Entity Name | Grow Healthcare Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
| Mailing Address | Practice Location Address |
|---|---|
| Marvin Buenaventura, 129 E Ridgecrest Blvd, Ridgecrest, CA 93555-3918 Ph: (760) 463-1613 | Marvin Buenaventura, 129 E Ridgecrest Blvd, Ridgecrest, CA 93555-3918 Ph: (760) 463-1613 |
Alessa Danyel Siler, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1011 N China Lake Blvd, Ridgecrest, CA 93555 Phone: 760-499-3640 Fax: 760-499-7229 | |
Jhoanne Dela Cruz Ave, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1133 Chelsea St, Ridgecrest, CA 93555 Phone: 866-707-6664 | |
Linda Rae Conway, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 841 N Downs St, Ste C, Ridgecrest, CA 93555 Phone: 951-234-4260 | |
Todd Rowland, MSN, RN, FNP-C, CEN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1111 N China Lake Blvd, Ridgecrest, CA 93555 Phone: 760-499-3855 Fax: 760-499-3870 | |
Helaine M Boggs, R.N. NPF Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1111 N China Lake Blvd, Ridgecrest, CA 93555 Phone: 760-446-8281 Fax: 760-446-8289 | |
Savita Dongre, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 129 E Ridgecrest Blvd, Ridgecrest, CA 93555 Phone: 760-463-1613 Fax: 760-463-1614 | |
Mariah Arlene Pietrangelo, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1011 N China Lake Blvd, Ridgecrest, CA 93555 Phone: 760-499-3640 Fax: 760-499-7229 |