| Rhea Saligumba, | |
|
12301 Hawthorne Blvd, Hawthorne, CA 90250-3808 | |
| (310) 355-0054 | |
| Not Available |
| Full Name | Rhea Saligumba |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 12301 Hawthorne Blvd, Hawthorne, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235899717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | 95016544 (California) | Primary |
| Entity Name | Providence Medical Institute |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417915760 PECOS PAC ID: 5991609737 Enrollment ID: O20031121000910 |
| Mailing Address | Practice Location Address |
|---|---|
| Rhea Saligumba, 1329 Harmony Way, Torrance, CA 90501-4862 Ph: (310) 978-5068 | Rhea Saligumba, 12301 Hawthorne Blvd, Hawthorne, CA 90250-3808 Ph: (310) 355-0054 |
Mrs. Nadia Heidi Blanco, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11946 Hawthorne Blvd, Hawthorne, CA 90250 Phone: 310-675-1136 | |
Ms. Tenika Nettles, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4477 W 118th St Ste 300, Hawthorne, CA 90250 Phone: 323-684-4577 | |
Renee Mckenzie, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11712 Hawthorne Blvd, Hawthorne, CA 90250 Phone: 310-679-9293 Fax: 310-715-8686 | |
Ogbonna Iwuamadi Olelewe, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11712 S. Hawthorne Blvd, Hawthorne, CA 90250 Phone: 310-679-9293 Fax: 310-679-4017 | |
Amanda L Stowell, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4866 W 137th St, Hawthorne, CA 90250 Phone: 818-462-1195 | |
Ms. Nona Pacatang Santos, N.P.-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4477 W 118th St, Suite 200, Hawthorne, CA 90250 Phone: 310-675-4440 Fax: 310-675-5816 | |
Joseph Ngwa Tanifor, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11712 Hawthorne Blvd, Hawthorne, CA 90250 Phone: 310-679-9293 |