| Nicole Chiaranon Chan, | |
|
115 N El Camino Real Ste A, Oceanside, CA 92058-1844 | |
| (760) 330-5055 | |
| (760) 542-2026 |
| Full Name | Nicole Chiaranon Chan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 115 N El Camino Real Ste A, Oceanside, 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 |
|---|---|---|---|
| 1841027208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95030507 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Minuteclinic Diagnostic Medical Group Of San Diego Inc | 2567520414 | 34 |
| Entity Name | Minuteclinic Diagnostic Medical Group Of California Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033309372 PECOS PAC ID: 8224191374 Enrollment ID: O20090115000289 |
| Entity Name | Minuteclinic Diagnostic Medical Group Of Orange County Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104013879 PECOS PAC ID: 5991868929 Enrollment ID: O20090116000214 |
| Entity Name | Minuteclinic Diagnostic Medical Group Of San Diego Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568659233 PECOS PAC ID: 2567520414 Enrollment ID: O20090127000249 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Chiaranon Chan, 115 N El Camino Real Ste A, Oceanside, CA 92058-1844 Ph: (760) 330-5055 | Nicole Chiaranon Chan, 115 N El Camino Real Ste A, Oceanside, CA 92058-1844 Ph: (760) 330-5055 |
Mrs. Brandi Campbell, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Mercy Cir, Oceanside, CA 92055 Phone: 760-719-4542 | |
Gabrielle Green, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1739 Valley Oak Way, Oceanside, CA 92056 Phone: 925-640-2233 | |
Ms. Therese Anne Gibson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 Harbor Dr N, Unit 7c, Oceanside, CA 92054 Phone: 760-420-2293 Fax: 760-433-2293 | |
Erica Din, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Mercy Cir, Oceanside, CA 92055 Phone: 760-725-4647 Fax: 760-725-1101 | |
Charla Caye Reece, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 703 Valley Crest Dr, Oceanside, CA 92058 Phone: 760-525-3512 | |
David Mark Chaffee, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3927 Waring Rd, Oceanside, CA 92056 Phone: 619-703-7220 | |
Ms. Jacqueline Maria Cotten, CFNP/CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2122 S El Camino Real, Oceanside, CA 92054 Phone: 760-754-0974 Fax: 760-945-3201 |