| Rudy Roque, NP | |
|
1310 W Stewart Dr Ste 301, Orange, CA 92868-3838 | |
| (714) 248-3764 | |
| Not Available |
| Full Name | Rudy Roque |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 1310 W Stewart Dr Ste 301, Orange, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831933100 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95030487 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Brainpower Wellness Institute Nursing Corporation | 3072840586 | 15 |
| Entity Name | Brainpower Wellness Institute Nursing Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528573615 PECOS PAC ID: 3072840586 Enrollment ID: O20190806004155 |
| Entity Name | Amygdala Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386324267 PECOS PAC ID: 3577910421 Enrollment ID: O20231114002865 |
| Mailing Address | Practice Location Address |
|---|---|
| Rudy Roque, NP 1310 W Stewart Dr Ste 301, Orange, CA 92868-3838 Ph: () - | Rudy Roque, NP 1310 W Stewart Dr Ste 301, Orange, CA 92868-3838 Ph: (714) 248-3764 |
Jennifer Michelle Shively, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 455 S Main St, Orange, CA 92868 Phone: 714-204-3277 | |
Stephanie Pukini, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2592 N Santiago Blvd, Orange, CA 92867 Phone: 855-434-7763 | |
Patricia Goings, N.P., R.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2501 E Chapman Ave, Orange, CA 92869 Phone: 714-628-3110 Fax: 714-633-1715 | |
Anna Katrina Cruz, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1010 W Chapman Ave, Orange, CA 92868 Phone: 714-633-4300 | |
Mrs. Theresa A Limlengco, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 438 E Katella Ave Ste 226, Orange, CA 92867 Phone: 760-933-0031 | |
Lea D Wood, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7630 E Chapman Ave Ste B, Orange, CA 92869 Phone: 714-287-0459 | |
Elen G Araya, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-880-7812 |