| Mrs Alicia E Lane, FNP-BC, BSN, RN | |
|
19346 Nordhoff St, Northridge, CA 91324-2415 | |
| (818) 727-2040 | |
| Not Available |
| Full Name | Mrs Alicia E Lane |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 19346 Nordhoff St, Northridge, 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 |
|---|---|---|---|
| 1013338763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 26NJ00475500 (New Jersey) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 95003883 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Radiology Group Of New Jersey Llc | 4082979166 | 216 |
| Entity Name | Drx Paramus, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316272685 PECOS PAC ID: 2466589585 Enrollment ID: O20100422000051 |
| Entity Name | Jersey Irish Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144575739 PECOS PAC ID: 0941451215 Enrollment ID: O20121114000210 |
| Entity Name | The Radiology Group Of New Jersey Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174010540 PECOS PAC ID: 4082979166 Enrollment ID: O20180518001107 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Alicia E Lane, FNP-BC, BSN, RN 5407 Colfax Ave Apt 401, North Hollywood, CA 91601-5213 Ph: (732) 682-9623 | Mrs Alicia E Lane, FNP-BC, BSN, RN 19346 Nordhoff St, Northridge, CA 91324-2415 Ph: (818) 727-2040 |
Ararat Apelian, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18350 Roscoe Blvd Ste 714, Northridge, CA 91325 Phone: 818-796-2920 | |
Mrs. Michelle Paige Birdsall, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18300 Roscoe Blvd, Northridge, CA 91325 Phone: 818-885-8500 | |
Louise Anne Villanueva, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8628 Reseda Blvd, Northridge, CA 91324 Phone: 818-361-5437 | |
Dominick Rey Amparano, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18300 Roscoe Blvd, Northridge, CA 91325 Phone: 818-885-8500 Fax: 818-727-0893 | |
Riffat Khan, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18300 Roscoe Blvd, Northridge, CA 91325 Phone: 818-885-3577 | |
Angelo Soriano, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18300 Roscoe Blvd, Northridge, CA 91325 Phone: 818-885-8500 |