| Vitalis Egwim, | |
|
1699 E Washington St Apt 2246, Colton, CA 92324-6460 | |
| (443) 742-8019 | |
| Not Available |
| Full Name | Vitalis Egwim |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 1699 E Washington St Apt 2246, Colton, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265068878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 95014012 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventist Health Delano | Delano, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Health Centers Of America | 3476813460 | 83 |
| Global Wound Care Medical Group | 9335504539 | 152 |
| Entity Name | Community Health Centers Of America |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891207684 PECOS PAC ID: 3476813460 Enrollment ID: O20180213001169 |
| Entity Name | Global Wound Care Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235831132 PECOS PAC ID: 9335504539 Enrollment ID: O20230517001871 |
| Mailing Address | Practice Location Address |
|---|---|
| Vitalis Egwim, 1699 E Washington St Apt 2246, Colton, CA 92324-6460 Ph: (443) 742-8019 | Vitalis Egwim, 1699 E Washington St Apt 2246, Colton, CA 92324-6460 Ph: (443) 742-8019 |
Mr. Raymond Balagtas Tinio, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 829 N La Cadena Dr, Colton, CA 92324 Phone: 562-310-5772 Fax: 818-752-9911 | |
Mrs. Esther Y Lo, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1181 N Mount Vernon Ave, Colton, CA 92324 Phone: 909-498-2356 Fax: 877-824-9080 | |
Ms. Maria R Lawrence, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Center For Employee Health And Wellness, Colton, CA 92324 Phone: 909-580-1701 Fax: 909-580-1359 | |
Venice Ababat, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1449 Linville Ln, Colton, CA 92324 Phone: 909-835-8864 | |
Nicole Genevieve Williams, MD Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-2186 Fax: 909-580-3814 | |
Jane Nwokeabia, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-3145 | |
Adaobi Maureen Adimorah, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-3145 Fax: 909-580-2165 |