| Sally Kei Mason, | |
|
510 Plaza Dr Ste 170, Folsom, CA 95630-4790 | |
| (916) 351-9400 | |
| Not Available |
| Full Name | Sally Kei Mason |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 510 Plaza Dr Ste 170, Folsom, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013539121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95013367 (California) | Primary |
| 103TP0016X | Psychologist - Prescribing (medical) | (* (Not Available)) | Secondary |
| Entity Name | Molina Healthcare of California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194811760 PECOS PAC ID: 7517957608 Enrollment ID: O20061101000348 |
| Entity Name | Hisham Soliman MD Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700199080 PECOS PAC ID: 9436282191 Enrollment ID: O20100802000172 |
| Entity Name | Central Health Plan of California, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386714772 PECOS PAC ID: 7416395736 Enrollment ID: O20240405001559 |
| Mailing Address | Practice Location Address |
|---|---|
| Sally Kei Mason, 413 Chateau La Salle Dr, San Jose, CA 95111-3034 Ph: (408) 679-2779 | Sally Kei Mason, 510 Plaza Dr Ste 170, Folsom, CA 95630-4790 Ph: (916) 351-9400 |
Alaina Rae Niebuhr, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1580 Creekside Dr Ste 250, Folsom, CA 95630 Phone: 916-983-8695 |
Karen Tang, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1641 Creekside Dr Ste 201, Folsom, CA 95630 Phone: 916-983-3069 |
Annika Elizabeth Dethlefs, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 82 Clarksville Rd Ste 120, Folsom, CA 95630 Phone: 916-983-8868 |
Miss Jennifer N Okechukwu, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 510 Plaza Dr Ste 170, Folsom, CA 95630 Phone: 916-351-9400 |
Mrs. Josephine P Williams, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 108 Lowney Ct, Folsom, CA 95630 Phone: 916-984-3792 |
Mrs. Harrieth Amaka Madu, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 510 Plaza Dr Ste 170, Folsom, CA 95630 Phone: 916-351-9400 Fax: 916-351-9449 |
Li Kelly, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2360 E Bidwell St Ste 105, Folsom, CA 95630 Phone: 855-501-1004 |