| Mr Dennis Malate Redubla, | |
|
2131 Herndon Ave Ste 103, Clovis, CA 93611-6304 | |
| (559) 578-8844 | |
| (559) 578-8899 |
| Full Name | Mr Dennis Malate Redubla |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 2131 Herndon Ave Ste 103, Clovis, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053633206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95004480 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Community Regional Medical Center | Fresno, CA | Hospital |
| Saint Agnes Medical Center | Fresno, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Integrated Rehab Consultants California Inc | 0547499865 | 38 |
| Express Care Medical Group A Professional Corporation | 7315389376 | 4 |
| Omar Osman Practice, Llc | 4385014042 | 43 |
| The Nephrology Group Inc | 4688767262 | 50 |
| Entity Name | Long Term Care Medical Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356479877 PECOS PAC ID: 9032016068 Enrollment ID: O20031217000464 |
| Entity Name | The Nephrology Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205906229 PECOS PAC ID: 4688767262 Enrollment ID: O20070912000803 |
| Entity Name | Integrated Rehab Consultants California Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023449741 PECOS PAC ID: 0547499865 Enrollment ID: O20140208000426 |
| Entity Name | Omar Osman Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669192472 PECOS PAC ID: 4385014042 Enrollment ID: O20221221002873 |
| Entity Name | Sierra Medicine Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497420848 PECOS PAC ID: 1456723840 Enrollment ID: O20230213001054 |
| Entity Name | Express Care Medical Group A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124886882 PECOS PAC ID: 7315389376 Enrollment ID: O20240522004198 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Dennis Malate Redubla, 685 W Alluvial Ave Ste 103, Fresno, CA 93711-5779 Ph: (559) 499-1233 | Mr Dennis Malate Redubla, 2131 Herndon Ave Ste 103, Clovis, CA 93611-6304 Ph: (559) 578-8844 |
Robin D Medina-reinhart, NP, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 726 N Medical Center Dr E Ste 125, Clovis, CA 93611 Phone: 559-492-5749 Fax: 559-492-5830 | |
Rajdeep Sandhu, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 650 W Alluvial Ave, Clovis, CA 93611 Phone: 872-231-3162 | |
Christine Stephens, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 427 W Nees Ave Ste 103, Clovis, CA 93611 Phone: 559-770-3434 | |
Jane Marguerite Johnson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2755 Herndon Ave, Clovis Community Medical Center, Clovis, CA 93611 Phone: 559-638-2252 | |
Nazeli Natalie Shishoyan, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 726 N Medical Center Dr E Ste 223, Clovis, CA 93611 Phone: 559-472-4255 | |
Maika Vang, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2871 Rall Ave, Clovis, CA 93611 Phone: 559-916-7106 | |
Abby Jean Jacobs, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2755 Herndon Ave, Clovis, CA 93611 Phone: 559-603-7300 |