| Tana Cabanillas, | |
|
19815 Annalee Ave, Carson, CA 90746-3146 | |
| (407) 579-2013 | |
| Not Available |
| Full Name | Tana Cabanillas |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 19815 Annalee Ave, Carson, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134907652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 64189 (California) | Primary |
| Entity Name | Unicare Community Health Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639066491 PECOS PAC ID: 8426369067 Enrollment ID: O20150623001589 |
| Mailing Address | Practice Location Address |
|---|---|
| Tana Cabanillas, 19815 Annalee Ave, Carson, CA 90746-3146 Ph: (407) 579-2013 | Tana Cabanillas, 19815 Annalee Ave, Carson, CA 90746-3146 Ph: (407) 579-2013 |
Amanda Aden, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 23701 Main St, Carson, CA 90745 Phone: 310-513-6707 |
Srisha Anil Jhangiani, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1000 E Dominguez St Ste 110, Carson, CA 90746 Phone: 310-830-4561 |
Lucy Tran, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 522 W Carson St, Carson, CA 90745 Phone: 310-320-3400 |
Miss Kathy Nhi Ly, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 522 W Carson St, Carson, CA 90745 Phone: 310-320-3400 |
Kristin Grace Wong, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 20920 Chico St, Carson, CA 90746 Phone: 888-530-4415 Fax: 833-973-3630 |
Miss Lindsay Shawne Taylor, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 522 W Carson St, Carson, CA 90745 Phone: 310-320-3400 |
Donna Ton, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 522 W Carson St, Carson, CA 90745 Phone: 310-320-3400 |