| Pacific Mobile Wound Care | |
|
1100 E Orangethorpe Ave Ste 252k Anaheim CA 92801-1164 | |
| (562) 388-8458 | |
| Not Available |
| Full Name | Pacific Mobile Wound Care |
|---|---|
| Speciality | Family Medicine |
| Location | 1100 E Orangethorpe Ave Ste 252k, Anaheim, California |
| Authorized Official Name and Position | Jeffrey Felgner (PRESIDENT) |
| Authorized Official Contact | 9494782437 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Mobile Wound Care 1100 E Orangethorpe Ave Ste 252k Anaheim CA 92801-1164 Ph: (562) 388-8458 | Pacific Mobile Wound Care 1100 E Orangethorpe Ave Ste 252k Anaheim CA 92801-1164 Ph: (562) 388-8458 |
| NPI Number | 1952102519 |
|---|---|
| Provider Enumeration Date | 03/20/2025 |
| Last Update Date | 03/20/2025 |
| Certification Date | 03/20/2025 |
| Medicare PECOS PAC ID | 1557889854 |
|---|---|
| Medicare Enrollment ID | O20250520002674 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952102519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Jeffrey Felgner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790122497 PECOS PAC ID: 0648587337 Enrollment ID: I20160630001853 |
| Provider Name | Maria Cecilia Jamito Colli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356852206 PECOS PAC ID: 8224391677 Enrollment ID: I20180417001461 |
| Provider Name | Jaylene T Nguyen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720542665 PECOS PAC ID: 9830430198 Enrollment ID: I20190415000887 |
| Provider Name | Anna Sabrina Paningbatan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063015162 PECOS PAC ID: 4688898554 Enrollment ID: I20210205001672 |
| Provider Name | Bevien Sofia Baroro Monte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548951338 PECOS PAC ID: 6002278363 Enrollment ID: I20230817003338 |
| Provider Name | Jennifer Dagdag Flor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720829195 PECOS PAC ID: 5991230682 Enrollment ID: I20241118002913 |
| Provider Name | Ann Marielle Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790520765 PECOS PAC ID: 1951836659 Enrollment ID: I20241118003497 |
| Provider Name | Luke Jacob L Narciso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528874401 PECOS PAC ID: 4688102262 Enrollment ID: I20250109003212 |
| Provider Name | Sarah Lay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225848476 PECOS PAC ID: 7618497611 Enrollment ID: I20250220002747 |
| Provider Name | Josha Krista Ventura Hilahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235905019 PECOS PAC ID: 9032604871 Enrollment ID: I20251219000933 |
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