| Shary Joseph, | |
|
303 N East St, Anaheim, CA 92805-3341 | |
| (714) 491-1771 | |
| (714) 491-1370 |
| Full Name | Shary Joseph |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 303 N East St, Anaheim, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063836120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 95000247 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 95000247 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Entity Name | Benevolence Industries Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578763207 PECOS PAC ID: 3870686611 Enrollment ID: O20070910000638 |
| Mailing Address | Practice Location Address |
|---|---|
| Shary Joseph, 1010 Crenshaw Blvd, Torrance, CA 90501-2056 Ph: (562) 832-7792 | Shary Joseph, 303 N East St, Anaheim, CA 92805-3341 Ph: (714) 491-1771 |
Grace Wiryawan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3030 W Ball Rd, Anaheim, CA 92804 Phone: 626-872-9844 | |
Ybelynn Carandang Alaan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 801 E Katella Ave, Anaheim, CA 92805 Phone: 714-633-6373 | |
Cristian Cuevas, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5475 E La Palma Ave, Anaheim, CA 92807 Phone: 714-485-0354 | |
Mr. William George Woods, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1211 W La Palma Ave Ste 207, Anaheim, CA 92801 Phone: 714-772-8282 Fax: 714-772-6493 | |
Mariam Alhakim, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1110 W La Palma Ave, Anaheim, CA 92801 Phone: 714-991-3180 | |
Jovani Rioja, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3440 E La Palma Ave, Anaheim, CA 92806 Phone: 714-423-4168 | |
Gayatri Subedi, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1771 W Romneya Dr. Ste C, Anaheim, CA 98201 Phone: 714-758-0403 |