| Mrs Jennifer Diaz, NP | |
|
575 Price St Ste 101, Pismo Beach, CA 93449-2553 | |
| (805) 773-0707 | |
| (805) 773-2051 |
| Full Name | Mrs Jennifer Diaz |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 575 Price St Ste 101, Pismo 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 |
|---|---|---|---|
| 1013518711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95015632 (California) | Primary |
| Entity Name | Pismo Family Practice Medical Corporation a Ca Prof Medical Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497746473 PECOS PAC ID: 5597709360 Enrollment ID: O20091124000026 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jennifer Diaz, NP 575 Price St Ste 101, Pismo Beach, CA 93449-2553 Ph: (805) 773-0707 | Mrs Jennifer Diaz, NP 575 Price St Ste 101, Pismo Beach, CA 93449-2553 Ph: (805) 773-0707 |
Tina Marie Loayza, F.N.P Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 877 Oak Park Blvd, Pismo Beach, CA 93449 Phone: 805-474-8450 Fax: 805-474-7169 |
Kelli Eisemann, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2 James Way Ste 106, Pismo Beach, CA 93449 Phone: 805-473-7665 |
Carolyn Jolly, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 877 Oak Park Blvd, Pismo Beach, CA 93449 Phone: 805-474-8450 |
Ashley Danielle Hook, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 931 Oak Park Blvd Ste 101, Pismo Beach, CA 93449 Phone: 805-574-4037 |
Stephanie Madalyn Yoder, MSN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 877 Oak Park Blvd, Pismo Beach, CA 93449 Phone: 805-474-8450 |
Ms. Kendra Joelle James, NP-C, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 James Way, Pismo Beach, CA 93449 Phone: 805-295-6594 |
Teresa Maria Cordeiro, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2 James Way Ste 209, Pismo Beach, CA 93449 Phone: 805-773-7440 |