| Tracy Tran Canonizado, | |
|
2760 Fletcher Pkwy, El Cajon, CA 92020-2110 | |
| (877) 993-4321 | |
| Not Available |
| Full Name | Tracy Tran Canonizado |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 2760 Fletcher Pkwy, El Cajon, 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 |
|---|---|---|---|
| 1447858139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 11501 (Minnesota) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 95015474 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Minuteclinic Diagnostic Medical Group Of Orange County Inc | 5991868929 | 26 |
| Minuteclinic Diagnostic Medical Group Of California Inc | 8224191374 | 31 |
| Entity Name | Monica Perlman Md Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134309305 PECOS PAC ID: 8820035884 Enrollment ID: O20050411001333 |
| Entity Name | Minuteclinic Diagnostic Medical Group Of California Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033309372 PECOS PAC ID: 8224191374 Enrollment ID: O20090115000289 |
| Entity Name | Minuteclinic Diagnostic Medical Group Of Orange County Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104013879 PECOS PAC ID: 5991868929 Enrollment ID: O20090116000214 |
| Entity Name | Minuteclinic Diagnostic Medical Group Of San Diego Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568659233 PECOS PAC ID: 2567520414 Enrollment ID: O20090127000249 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Tran Canonizado, 2760 Fletcher Pkwy, El Cajon, CA 92020-2110 Ph: (858) 755-6697 | Tracy Tran Canonizado, 2760 Fletcher Pkwy, El Cajon, CA 92020-2110 Ph: (877) 993-4321 |
Hazel Boltron Callicott, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 952 Teatro Cir, El Cajon, CA 92021 Phone: 619-718-2856 | |
Thaghar Mansour Oda, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1111 W Chase Ave, El Cajon, CA 92020 Phone: 619-515-2499 | |
Daniel Bactol Patiag, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1320 E Madison Ave, El Cajon, CA 92021 Phone: 619-456-9800 | |
Mrs. Melanie Vespa, APN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1580 Broadway, El Cajon, CA 92021 Phone: 872-231-3162 | |
Ness Rells, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1380 El Cajon Blvd Ste 100, El Cajon, CA 92020 Phone: 619-867-0557 | |
Mrs. Brittany Ann Rubio, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2051 Calle Cantora, El Cajon, CA 92019 Phone: 619-947-1451 | |
Kaitlin Nicole Simarro, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1685 E Main St Ste 301, El Cajon, CA 92021 Phone: 888-743-7526 |