| Smitha Thomas, NURSE PRACTITIONER | |
|
19561 Gifford St, Reseda, CA 91335-8025 | |
| (818) 718-9064 | |
| Not Available |
| Full Name | Smitha Thomas |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 19561 Gifford St, Reseda, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881834919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | NP 18638 (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 |
| Mailing Address | Practice Location Address |
|---|---|
| Smitha Thomas, NURSE PRACTITIONER 19561 Gifford St, Reseda, CA 91335-8025 Ph: (818) 718-9064 | Smitha Thomas, NURSE PRACTITIONER 19561 Gifford St, Reseda, CA 91335-8025 Ph: (818) 718-9064 |
Jiyeon Kim, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18107 Sherman Way Ste 200, Reseda, CA 91335 Phone: 818-783-1002 | |
Mr. Elizabeth Salazar, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6906 Topeka Dr, Reseda, CA 91335 Phone: 818-454-5973 | |
Adrean Kentray Knight, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7150 Tampa Ave, Reseda, CA 91335 Phone: 888-227-3745 | |
Ms. Lydia Kay Wilson, GNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18855 Victory Blvd, Attn: Billing Department, Reseda, CA 91335 Phone: 818-774-3354 Fax: 818-757-4401 | |
Shenelle Gunatilake, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18908 Strathern St, Reseda, CA 91335 Phone: 818-414-1175 | |
Mrs. Elizabeth Videla Lalane, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19353 Victory Blvd., Reseda, CA 91335 Phone: 818-996-4742 | |
Patricia Jeng, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18040 Sherman Way, Suite 200, Reseda, CA 91335 Phone: 818-212-2223 Fax: 818-212-2224 |