| Joshua David Lepore, | |
|
103 Providence Mine Rd Ste 101, Nevada City, CA 95959-2949 | |
| (530) 292-3478 | |
| (530) 292-4296 |
| Full Name | Joshua David Lepore |
|---|---|
| Gender | Male |
| Speciality | Psychologist |
| Location | 103 Providence Mine Rd Ste 101, Nevada City, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922293497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY24947 (California) | Primary |
| 101YM0800X | Counselor - Mental Health | RPS2010173 (California) | Secondary |
| Entity Name | Sierra Family Medical Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316169618 PECOS PAC ID: 8224192927 Enrollment ID: O20090124000095 |
| Mailing Address | Practice Location Address |
|---|---|
| Joshua David Lepore, Po Box 995, Grass Valley, CA 95945-0995 Ph: (530) 292-3478 | Joshua David Lepore, 103 Providence Mine Rd Ste 101, Nevada City, CA 95959-2949 Ph: (530) 292-3478 |
Grace Mcintosh, PPS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 505 Main St, Nevada City, CA 95959 Phone: 530-265-6060 | |
Monika Benitez, SCHOOL PSYCHOLOGY Psychologist Medicare: Not Enrolled in Medicare Practice Location: 805 Lindley Ave, Nevada City, CA 95959 Phone: 530-265-1870 | |
Paul M De Silva, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 470 Searls Ave, Nevada City, CA 95959 Phone: 530-264-8781 | |
Jessica Awinita Stahl, PSY.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 408 Broad St, Ste 10b, Nevada City, CA 95959 Phone: 530-210-6202 | |
Dr. Jane Mcclay, PSY. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 590 Searls Ave Ste 12, Nevada City, CA 95959 Phone: 530-401-7705 Fax: 888-508-1548 | |
Dr. Irene Chang, LEP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 13032 Bitney Springs Rd, Nevada City, CA 95959 Phone: 530-273-7736 | |
Erin Olafsson-goldberg, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 111 New Mohawk Rd, Nevada City, CA 95959 Phone: 530-478-1815 |