| Perpetual Wound Rescue | |
|
1100 E Orangethorpe Ave Ste 200r Anaheim CA 92801-1144 | |
| (240) 808-0148 | |
| Not Available |
| Full Name | Perpetual Wound Rescue |
|---|---|
| Speciality | Internal Medicine |
| Location | 1100 E Orangethorpe Ave Ste 200r, Anaheim, California |
| Authorized Official Name and Position | Mikio Tachibana (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2408080148 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Perpetual Wound Rescue 1100 E Orangethorpe Ave Ste 200r Anaheim CA 92801-1144 Ph: (240) 808-0148 | Perpetual Wound Rescue 1100 E Orangethorpe Ave Ste 200r Anaheim CA 92801-1144 Ph: (240) 808-0148 |
| NPI Number | 1235921032 |
|---|---|
| Provider Enumeration Date | 05/19/2025 |
| Last Update Date | 05/19/2025 |
| Certification Date | 05/19/2025 |
| Medicare PECOS PAC ID | 3274034350 |
|---|---|
| Medicare Enrollment ID | O20250829002150 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235921032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Mikio Tachibana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598721227 PECOS PAC ID: 7719928159 Enrollment ID: I20050520000343 |
| 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 | Patricia Korszyk |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972061729 PECOS PAC ID: 2567630536 Enrollment ID: I20190726000173 |
| Provider Name | Melissa Mustafa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639715477 PECOS PAC ID: 5294153532 Enrollment ID: I20200917002623 |
| Provider Name | Rodalyn Ulep Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184163206 PECOS PAC ID: 1951761915 Enrollment ID: I20230721002673 |
| 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 | Beverly Anne Lapeyronnie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093689127 PECOS PAC ID: 7911498514 Enrollment ID: I20251111003608 |
| Provider Name | Josha Krista Ventura Hilahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235905019 PECOS PAC ID: 9032604871 Enrollment ID: I20251219000933 |
Nurture by Newberry Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1720 W Ball Rd # 4b1003, Anaheim, CA 92804 Phone: 657-201-9534 |
The Family Medicine Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1211 W. La Palma Avenue, Suite #404, Anaheim, CA 92801 Phone: 714-772-1030 Fax: 714-772-1758 |
Anaheim Medical Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2571 W La Palma Ave, Anaheim, CA 92801 Phone: 714-827-9797 Fax: 714-827-5377 |
Shirdi Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1751 W Romneya Dr, Anaheim, CA 92801 Phone: 714-776-3180 Fax: 714-991-1932 |
Rakesh Kumar Bhola ,m.d. Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1781 W Romneya Dr Ste C, Anaheim, CA 92801 Phone: 714-776-2700 |
Garcia Medical Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2090 S Euclid St Ste 104, Anaheim, CA 92802 Phone: 714-539-2200 Fax: 714-539-2277 |