| Mrs Margarita Lucas Lewis-upton, | |
|
16854 Ivy Ave Ste A, Fontana, CA 92335-1504 | |
| (909) 791-1000 | |
| (909) 781-6000 |
| Full Name | Mrs Margarita Lucas Lewis-upton |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Gerontology |
| Location | 16854 Ivy Ave Ste A, Fontana, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881426476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 95033971 (California) | Primary |
| 163W00000X | Registered Nurse | 774371 (California) | Secondary |
| Entity Name | Omni Integrated Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366208845 PECOS PAC ID: 0941747331 Enrollment ID: O20240802002081 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Margarita Lucas Lewis-upton, 5853 Ventana Dr, Fontana, CA 92336-5615 Ph: (909) 641-0717 | Mrs Margarita Lucas Lewis-upton, 16854 Ivy Ave Ste A, Fontana, CA 92335-1504 Ph: (909) 791-1000 |
Cherry Patricia Thangaraj, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7965 Sierra Ave, Fontana, CA 92336 Phone: 909-356-4459 | |
Yael Steinfeld, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 | |
Scott Swartz, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 | |
Cory Michael Layvas, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-5000 | |
Lisa Marie Hanson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16465 Sierra Lakes Pkwy Ste 275, Fontana, CA 92336 Phone: 909-823-8000 | |
Fabiola Sianturi, MSN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8110 Mango Ave, Fontana, CA 92335 Phone: 909-854-0430 | |
Nadia Le Flore, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17051 Sierra Lakes Pkwy # 103, Fontana, CA 92336 Phone: 909-770-1000 |