| Mimie Valencia, NP | |
|
20311 Sw Birch St Ste 100, Newport Beach, CA 92660-1778 | |
| (949) 345-5990 | |
| (888) 507-7138 |
| Full Name | Mimie Valencia |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 20311 Sw Birch St Ste 100, Newport Beach, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831848795 | NPI | - | NPPES |
| 920340344 | Other | CA | INTERNAL REVENUE SERVICES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95020355 (California) | Primary |
| Entity Name | New Foundation Medical Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689023582 PECOS PAC ID: 3072893478 Enrollment ID: O20161130001798 |
| Entity Name | Mn Nurse Practitioners In Practice |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932957123 PECOS PAC ID: 6002348380 Enrollment ID: O20241010003833 |
| Mailing Address | Practice Location Address |
|---|---|
| Mimie Valencia, NP 7377 La Palma Ave Unit 6875, Buena Park, CA 90622-8163 Ph: () - | Mimie Valencia, NP 20311 Sw Birch St Ste 100, Newport Beach, CA 92660-1778 Ph: (949) 345-5990 |
Mrs. Kena Gunter, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2071 San Joaquin Hills Rd, Newport Beach, CA 92660 Phone: 949-759-1720 | |
Ms. Kay R Collier, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 351 Hospital Rd Ste 401, Newport Beach, CA 92663 Phone: 949-642-6787 Fax: 949-642-4833 | |
Michael Nash, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Hoag Dr, Newport Beach, CA 92663 Phone: 949-764-8376 | |
Olivia Taylor Defilippo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4631 Teller Ave Ste 100, Newport Beach, CA 92660 Phone: 949-887-7187 | |
Miki Stacy Ohata, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3900 W Coast Hwy Ste 310, Newport Beach, CA 92663 Phone: 949-478-8858 | |
Danica Jane Labar, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4060 Campus Dr Ste 130, Newport Beach, CA 92660 Phone: 949-463-8651 | |
Diana Joan Munro, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 520 Superior Ave Ste 205, Newport Beach, CA 92663 Phone: 949-764-1843 |