| Ms Denise J Gontiz, FNP | |
|
2044 Fair St, Stockton, CA 95206-2313 | |
| (209) 944-4700 | |
| Not Available |
| Full Name | Ms Denise J Gontiz |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2044 Fair St, Stockton, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134561814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 201800340NP-PP (Oregon) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 23228 (California) | Primary |
| Entity Name | Enloe Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396753281 PECOS PAC ID: 9739092388 Enrollment ID: O20031110000404 |
| Entity Name | Northstate Cardiology Consultants |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861425993 PECOS PAC ID: 1850327362 Enrollment ID: O20050715000183 |
| Entity Name | Enloe Medical Center |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1992117592 PECOS PAC ID: 9739092388 Enrollment ID: O20141007000691 |
| Entity Name | Glenn Medical Center, Llc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1619929759 PECOS PAC ID: 4486050838 Enrollment ID: O20210909002556 |
| Entity Name | Enloe Health And Wellness |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740922426 PECOS PAC ID: 3678946282 Enrollment ID: O20230301002967 |
| Entity Name | Glenn Medical Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356388961 PECOS PAC ID: 4486050838 Enrollment ID: O20230601002610 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Denise J Gontiz, FNP 2044 Fair St, Stockton, CA 95206-2313 Ph: (209) 944-4700 | Ms Denise J Gontiz, FNP 2044 Fair St, Stockton, CA 95206-2313 Ph: (209) 944-4700 |
Yuko Motooka-halseth, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1801 E March Ln Ste D470, Stockton, CA 95210 Phone: 209-507-7027 Fax: 209-762-6808 | |
Harmanpreet Kaur, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 415 E Harding Way, Stockton, CA 95204 Phone: 209-944-5750 | |
Rex Ambatali Jr., AGACNP-BC, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2633 Pacific Ave, Stockton, CA 95204 Phone: 209-944-5530 | |
Shubhpreet Kaur Sohal, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 N California St, Stockton, CA 95204 Phone: 209-466-0456 | |
Mrs. Deborah Kay Hastie, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 73 W March Lane, Suite F, Stockton, CA 95207 Phone: 209-952-5555 Fax: 209-952-1907 | |
Mrs. Ketty Ukpong Uweh, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 644 E Harding Way Ste B, Stockton, CA 95204 Phone: 209-244-9191 Fax: 209-244-9190 | |
Dr. Joan S Rubinger, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2488 N California St, C/o R Winter Md, Stockton, CA 95204 Phone: 209-518-5051 |