| Renuka Rajiv, NP | |
|
949 Palm Ave, Imperial Beach, CA 91932-1503 | |
| (619) 429-3733 | |
| Not Available |
| Full Name | Renuka Rajiv |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 949 Palm Ave, Imperial Beach, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821819301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F02240409 (Massachusetts) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 95031599 (California) | Primary |
| Entity Name | Imperial Beach Community Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790718351 PECOS PAC ID: 6709867880 Enrollment ID: O20040525001394 |
| Mailing Address | Practice Location Address |
|---|---|
| Renuka Rajiv, NP 3620 3rd Ave Unit 105, San Diego, CA 92103-4126 Ph: (857) 203-1905 | Renuka Rajiv, NP 949 Palm Ave, Imperial Beach, CA 91932-1503 Ph: (619) 429-3733 |
Chinyere Esther Opara, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 949 Palm Ave, Imperial Beach, CA 91932 Phone: 619-429-3733 | |
Paris Kantas, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 705 Palm Ave, Imperial Beach, CA 91932 Phone: 619-424-5106 | |
Ms. Stephanie Cunningham, DNP, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 949 Palm Ave, Imperial Beach, CA 91932 Phone: 619-429-3733 | |
Tanika Janae Keagle, AGPCNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 568 9th St, Imperial Beach, CA 91932 Phone: 757-822-9965 | |
Heather Ann Roberts Calzada, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 949 Palm Ave, Imperial Beach, CA 91932 Phone: 619-429-3733 | |
Lisa George, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 705 Palm Ave, Imperial Beach, CA 91932 Phone: 619-424-5106 Fax: 619-424-3648 | |
Francesca Floyd, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 949 Palm Ave, Imperial Beach, CA 91932 Phone: 619-429-3733 |