| Nicole Mccann, | |
|
1000 S. Fremont Avenue Unit 7, Building A-10, Ste. N101, Alhambra, CA 91803 | |
| (626) 457-4263 | |
| Not Available |
| Full Name | Nicole Mccann |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1000 S. Fremont Avenue Unit 7, Alhambra, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477297463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Secondary |
| 363A00000X | Physician Assistant | 61236 (California) | Primary |
| Entity Name | Cep America - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 |
| Entity Name | Cep America - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548667843 PECOS PAC ID: 6103739131 Enrollment ID: O20040121000458 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Mccann, 3256 Brookwood Dr, Lafayette, CA 94549-1922 Ph: (925) 818-4278 | Nicole Mccann, 1000 S. Fremont Avenue Unit 7, Building A-10, Ste. N101, Alhambra, CA 91803 Ph: (626) 457-4263 |
Jessica Lee Palmer, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1000 S Fremont Ave Ste N10100, Alhambra, CA 91803 Phone: 626-457-4240 |
Krystal Espinoza, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1000 S Fremont Ave, Alhambra, CA 91803 Phone: 626-457-4240 |
Sonya Tang, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1024 S Garfield Ave, Alhambra, CA 91801 Phone: 626-289-5181 |
Jaspreet Kaur, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1000 South Fremont Avenue Unit 7, Bldg. A10, Ste.n10100, Alhambra, CA 91803 Phone: 626-457-4240 |
Courtney Boucher, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 503 N Story Pl, Alhambra, CA 91801 Phone: 626-484-6732 |
Monica Khun, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1668 S Garfield Ave Fl 2, Alhambra, CA 91801 Phone: 626-943-6476 Fax: 626-900-9558 |
Jack Theodore Ezzedine, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1000 S Fremont Ave, Alhambra, CA 91803 Phone: 626-457-4240 |