| Polly Rose A Bacod, NP | |
|
100 W California Blvd, Pasadena, CA 91105-3010 | |
| (626) 397-5000 | |
| Not Available |
| Full Name | Polly Rose A Bacod |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 100 W California Blvd, Pasadena, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568050367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 565027 (California) | Secondary |
| 363L00000X | Nurse Practitioner | 95017273 (California) | Primary |
| Entity Name | Southern California Hospitalist Network Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790880458 PECOS PAC ID: 8921990110 Enrollment ID: O20040324001749 |
| Mailing Address | Practice Location Address |
|---|---|
| Polly Rose A Bacod, NP 22059 Windham Way, Santa Clarita, CA 91350-5745 Ph: (661) 714-2412 | Polly Rose A Bacod, NP 100 W California Blvd, Pasadena, CA 91105-3010 Ph: (626) 397-5000 |
Sarah Stephens, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 W California Blvd, Pasadena, CA 91105 Phone: 626-397-8300 Fax: 626-697-8337 | |
Mrs. Jessica Alexandra Monzon, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Planned Parenthood, 1045 N Lake Ave, Pasadena, CA 91104 Phone: 626-798-0706 | |
Nwamaka Nwosu, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 117 E Colorado Blvd Ste 600, Pasadena, CA 91105 Phone: 844-735-1418 | |
Charlene Reed Frando, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2750 E Washington Blvd Ste 230, Pasadena, CA 91107 Phone: 626-296-8900 | |
Camille Ivy Medina, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 W California Blvd, Pasadena, CA 91105 Phone: 626-397-5000 | |
Gina Joanne Digiovanni, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 351 S. Hudson, Suite Number 130, Pasadena, CA 91109 Phone: 626-795-6981 Fax: 626-578-1204 | |
Mrs. Margaret Lester, RNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 39 Congress St, Suite 301, Pasadena, CA 91105 Phone: 626-486-0181 |