| Ms Kaila Azzura Chan, FNP-C | |
|
751 Lombardi Court, Santa Rosa, CA 95407-5454 | |
| (707) 303-3600 | |
| Not Available |
| Full Name | Ms Kaila Azzura Chan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 751 Lombardi Court, Santa Rosa, 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 |
|---|---|---|---|
| 1972173458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 95020156 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sutter Valley Medical Foundation | 9830094515 | 2473 |
| Entity Name | Sutter Valley Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kaila Azzura Chan, FNP-C Po Box 255228, Sacramento, CA 95865-5228 Ph: Not Available | Ms Kaila Azzura Chan, FNP-C 751 Lombardi Court, Santa Rosa, CA 95407-5454 Ph: (707) 303-3600 |
Peggy Walsh Goebel, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 50 Montgomery Dr, Santa Rosa, CA 95404 Phone: 707-585-7780 Fax: 707-585-7784 |
Sophia Rose Wuest, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 751 Lombardi Ct, Santa Rosa, CA 95407 Phone: 707-303-3600 |
Julie Barlow, ACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 220 Concourse Blvd, Santa Rosa, CA 95403 Phone: 844-527-7369 Fax: 844-847-4943 |
Suzanne Watts Dedmore, RN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1110 N Dutton Ave, Santa Rosa, CA 95401 Phone: 707-303-3600 |
Amada Ligia Gomez, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1989 Citrine Way, Santa Rosa, CA 95404 Phone: 786-385-4492 |
Genesis Callejas-mir, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1501 Mendocino Ave, Santa Rosa, CA 95401 Phone: 707-527-4445 |
Felipa Jones, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3317 Chanate Rd, Suite 2c, Santa Rosa, CA 95404 Phone: 707-570-1130 Fax: 707-571-2478 |