| Vanessa Jimenez Fuentes, PA-C | |
|
251 W Cole Blvd, Calexico, CA 92231-9722 | |
| (760) 357-3768 | |
| Not Available |
| Full Name | Vanessa Jimenez Fuentes |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 251 W Cole Blvd, Calexico, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902242480 | NPI | - | NPPES |
| PA23016 | Other | CA | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Primary |
| Entity Name | Imperial Valley Family Care Medical Group a P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275581894 PECOS PAC ID: 0446243083 Enrollment ID: O20040407001358 |
| Entity Name | Clinicas De Salud Del Pueblo Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346313889 PECOS PAC ID: 5496657082 Enrollment ID: O20071201000158 |
| Mailing Address | Practice Location Address |
|---|---|
| Vanessa Jimenez Fuentes, PA-C 2680 Nance Rd, Imperial, CA 92251-9605 Ph: (760) 679-6259 | Vanessa Jimenez Fuentes, PA-C 251 W Cole Blvd, Calexico, CA 92231-9722 Ph: (760) 357-3768 |
Mr. Conrado Martinez, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 223 W Cole Blvd, Calexico, CA 92231 Phone: 760-357-2020 Fax: 760-357-1056 |
Manuel Oswaldo Ramirez, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 223 W Cole Blvd, Calexico, CA 92231 Phone: 760-357-2020 Fax: 760-357-1056 |
Bihon Zeweldemariam, NP Physician Assistant Medicare: Medicare Enrolled Practice Location: 223 W Cole Blvd, Calexico, CA 92231 Phone: 730-357-2020 Fax: 760-357-1056 |
Claudia Gonzalez, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 495 E Birch St Ste A, Calexico, CA 92231 Phone: 760-357-0508 Fax: 760-357-0817 |
Emily Renee Grant Heim, Physician Assistant Medicare: Medicare Enrolled Practice Location: 223 W Cole Blvd, Calexico, CA 92231 Phone: 760-357-2020 Fax: 760-357-1056 |
Jorge Ramon Romo, P.A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 450 E Birch St, Calexico, CA 92231 Phone: 760-768-6262 |