| Ms Tiniya Brandy Lacy, NP | |
|
18522 Us Highway 18 Ste 102, Apple Valley, CA 92307-2321 | |
| (760) 242-7707 | |
| (760) 242-1133 |
| Full Name | Ms Tiniya Brandy Lacy |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 18522 Us Highway 18 Ste 102, Apple Valley, 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 |
|---|---|---|---|
| 1649002064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 95039016 (California) | Primary |
| 163W00000X | Registered Nurse | 95046480 (California) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Optima Health Corp | 3779911466 | 32 |
| Entity Name | Optima Health Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245892066 PECOS PAC ID: 3779911466 Enrollment ID: O20200311001414 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Tiniya Brandy Lacy, NP 11797 Forest Park Ln, Victorville, CA 92392-0428 Ph: (760) 662-9940 | Ms Tiniya Brandy Lacy, NP 18522 Us Highway 18 Ste 102, Apple Valley, CA 92307-2321 Ph: (760) 242-7707 |
Alma Luna, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16143 Kokanee Rd Ste C, Apple Valley, CA 92307 Phone: 760-242-6442 |
Brenda Ann Marin, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18031 Us Highway 18 Ste C, Apple Valley, CA 92307 Phone: 760-810-7631 |
Ashly Patricia Cameron, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18523 Corwin Rd Ste H, Apple Valley, CA 92307 Phone: 760-261-8462 |
Latora Subani, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16179 Siskiyou Rd, Apple Valley, CA 92307 Phone: 661-267-6876 |
Jonathan Portillo, AGACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18300 Us Highway 18, Apple Valley, CA 92307 Phone: 760-242-2311 |
Elizabeth Espinoza, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18300 Us Highway 18, Apple Valley, CA 92307 Phone: 760-242-2311 |
Mr. Jesus A Quinonez, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18300 Ca-18, Apple Valley, CA 92307 Phone: 760-242-2311 |