| Mr John Menard Castillo De Vera, NP | |
|
6245 De Longpre Ave Fl 2, Los Angeles, CA 90028-8253 | |
| (323) 499-1350 | |
| Not Available |
| Full Name | Mr John Menard Castillo De Vera |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 6245 De Longpre Ave Fl 2, Los Angeles, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437891561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95020629 (California) | Primary |
| Entity Name | Bartz-altadonna Community Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811279763 PECOS PAC ID: 6204090178 Enrollment ID: O20120702000123 |
| Entity Name | Vital Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366839656 PECOS PAC ID: 4789987215 Enrollment ID: O20160115002545 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr John Menard Castillo De Vera, NP 26829 Cuatro Milpas St, Valencia, CA 91354-2332 Ph: (818) 370-9062 | Mr John Menard Castillo De Vera, NP 6245 De Longpre Ave Fl 2, Los Angeles, CA 90028-8253 Ph: (323) 499-1350 |
Prof. Antoinette Zaragoza, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 245 S. Fetterly Ave, Roybal Comprehensive Chc, Los Angeles, CA 90022 Phone: 323-780-2216 | |
Maria Del Carmen Castillo, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3000 E 1st St, Los Angeles, CA 90063 Phone: 323-262-6935 Fax: 323-262-3109 | |
Anna Teresa Mendoza Tsay, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3913 York Blvd, Los Angeles, CA 90065 Phone: 323-532-1900 | |
Sherry Hefner Medrano, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 456 S Mathews St, Los Angeles, CA 90033 Phone: 323-780-6502 Fax: 323-780-6685 | |
Miss Martha Emily Muriel, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2829 S Grand Ave, Room # 213, Los Angeles, CA 90007 Phone: 213-744-6120 Fax: 213-749-6601 | |
Woosin Chung, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1515 N Vermont Ave Fl 2, Los Angeles, CA 90027 Phone: 213-220-9190 | |
Maria Imelda Bautista-durand, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2400 S Flower St, Los Angeles, CA 90007 Phone: 213-742-1000 |