| Tracy-jane Luyun Fajota, AGACNP-BC | |
|
1420 S Central Ave, Glendale, CA 91204-2508 | |
| (818) 502-1900 | |
| Not Available |
| Full Name | Tracy-jane Luyun Fajota |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 1420 S Central Ave, Glendale, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700660560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 95025937 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Glendale Mem Hospital & Hlth Center | Glendale, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Antaki And Associates Infectious Disease Medical Group Inc | 0941295943 | 7 |
| Entity Name | Lakeside Medical Organization A Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831426642 PECOS PAC ID: 7618005166 Enrollment ID: O20100505000015 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy-jane Luyun Fajota, AGACNP-BC 8510 Balboa Blvd Ste 150, Northridge, CA 91325-5810 Ph: (818) 636-0501 | Tracy-jane Luyun Fajota, AGACNP-BC 1420 S Central Ave, Glendale, CA 91204-2508 Ph: (818) 502-1900 |
Anna Manukyan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3527 Ocean View Blvd, Glendale, CA 91208 Phone: 747-745-7771 | |
Arianna Monique Gomez, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 900 N Pacific Ave, Glendale, CA 91203 Phone: 818-507-0909 | |
Chelsea Addy, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 611 N Brand Blvd Ste 100, Glendale, CA 91203 Phone: 747-286-2600 | |
Nessrien Waguih Malak, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3340 Honolulu Ave Apt 6, Glendale, CA 91214 Phone: 562-507-6012 | |
Brianna Ruth Oexmann, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 N Central Ave, Glendale, CA 91203 Phone: 888-777-1945 Fax: 805-413-9099 | |
Melissa Valle, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1836 Calle Suenos, Glendale, CA 91208 Phone: 818-298-9371 | |
Yu-ching Karen Lee, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1122 E Broadway, Glendale, CA 91205 Phone: 866-389-2727 |