| Philip Al Alibudbud, RN | |
|
5401 Moonlight Way, Elk Grove, CA 95758-6850 | |
| (209) 763-8058 | |
| Not Available |
| Full Name | Philip Al Alibudbud |
|---|---|
| Gender | |
| Speciality | Nurse Practitioner - Gerontology |
| Location | 5401 Moonlight Way, Elk Grove, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972338382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | NP95032777 (California) | Primary |
| 163W00000X | Registered Nurse | 95022405 (California) | Secondary |
| Entity Name | Community Health Centers Of America |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891207684 PECOS PAC ID: 3476813460 Enrollment ID: O20180213001169 |
| Mailing Address | Practice Location Address |
|---|---|
| Philip Al Alibudbud, RN 5401 Moonlight Way, Elk Grove, CA 95758-6850 Ph: (209) 763-8058 | Philip Al Alibudbud, RN 5401 Moonlight Way, Elk Grove, CA 95758-6850 Ph: (209) 763-8058 |
Zenaida J Pablo, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9098 Laguna Main St, Suite 6, Elk Grove, CA 95758 Phone: 916-691-6780 | |
Mary P Manu, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9201 Big Horn Blvd, Elk Grove, CA 95758 Phone: 916-478-5100 | |
Mrs. Mia Abigail Dalag Mateo, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5601 Claudied Way, Elk Grove, CA 95757 Phone: 916-582-4010 | |
Navjot Kaur Dhillon, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9394 Big Horn Blvd, Elk Grove, CA 95758 Phone: 916-691-8500 Fax: 916-691-8589 | |
Tabitha L Mason, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8125 Sheldon Rd #103, Elk Grove, CA 95758 Phone: 661-433-9133 | |
Gianelle Salazar Kaliangara, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6501 Cartera Ct, Elk Grove, CA 95758 Phone: 408-914-5986 Fax: 408-914-5986 | |
Wally Zarate, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10372 Via Cinta Ct, Elk Grove, CA 95757 Phone: 916-812-0800 |