| Mrs Amberly Cancino, | |
|
2333 S Mooney Blvd, Visalia, CA 93277-6228 | |
| (559) 205-1800 | |
| (559) 205-1770 |
| Full Name | Mrs Amberly Cancino |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 2333 S Mooney Blvd, Visalia, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972063030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA59597 (California) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Entity Name | Family Healthcare Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164517744 PECOS PAC ID: 6305756339 Enrollment ID: O20040123000681 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Amberly Cancino, 2333 S Mooney Blvd, Visalia, CA 93277-6228 Ph: (559) 205-1800 | Mrs Amberly Cancino, 2333 S Mooney Blvd, Visalia, CA 93277-6228 Ph: (559) 205-1800 |
Manivanh M Baum, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 400 East Oak Street, Visalia, CA 93291 Phone: 559-741-4500 Fax: 559-741-4502 |
Alex Attiku, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 337 N Plaza Dr, Visalia, CA 93291 Phone: 559-366-7177 Fax: 866-421-1361 |
Mr. Rian K Zuniga, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 400 East Oak Street, Visalia, CA 93291 Phone: 559-741-4500 Fax: 559-741-4502 |
Ms. Rosanna J Carrillo, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 137 S Aspen Ct Ste A, Visalia, CA 93291 Phone: 559-334-6720 Fax: 559-429-8240 |
Mr. Paul Lee, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 400 East Oak Street, Visalia, CA 93291 Phone: 559-741-4500 Fax: 559-741-4502 |
Jillian Leigh Duffus Yohannes, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 400 W Mineral King Ave, Visalia, CA 93291 Phone: 559-624-2000 |
Diana Sandoval-venegas Hoang, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 400 W Mineral King Ave, Visalia, CA 93291 Phone: 559-624-2000 |