Dolores L Fazzino (NPI# 1366449563, PAC ID# 2264512995) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1366449563 |
PAC ID by PECOS | 2264512995 |
Professional Enrollment ID | I20080107000655 |
Full Name | Dolores L Fazzino |
Address |
1622 Pleasant Pl Encinitas CA 92024-1975 |
Gender | F |
Graduation Year | 1999 |
Primary Specialty | NURSE PRACTITIONER |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
050128 | TRI-CITY MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
1622 Pleasant Pl, Encinitas, CA 92024-1975 |
Street Address |
1622 PLEASANT PL |
City | ENCINITAS |
State | CA |
Zip | 92024-1975 |
Name | Specialty | Organization | Address |
---|---|---|---|
Robert Brunst | General Practice | 477 N Camino Real, Suite 200, Encinitas, CA 92024 | |
Gourab Das | Physician Assistant | Robert F Brunst Md Phd Inc | 477 N Camino Real, Encinitas, CA 92024 |
Glenn B Frieder | Chiropractic | 1816 B Eucalyptus Ave, Encinitas, CA 92024-1106 | |
Joanna R Louis | Psychiatry | 1853 N Vulcan Ave, Encinitas, CA 92024-1151 | |
Alberto Bessudo | Hematology/oncology | California Cancer Associates for Research and Excellence, Inc.. | 447 N El Camino Real, D200, Encinitas, CA 92024-1302 |
Marti Lynn Willey | Nurse Practitioner | California Cancer Associates for Research and Excellence, Inc.. | 447 N El Camino Real, D200, Encinitas, CA 92024-1302 |
Pushpendu Banerjee | Medical Oncology | California Cancer Associates for Research and Excellence, Inc.. | 447 N El Camino Real, D200, Encinitas, CA 92024-1302 |
Cortney D Franz | Nurse Practitioner | California Cancer Associates for Research and Excellence, Inc.. | 447 N El Camino Real, D200, Encinitas, CA 92024-1302 |
Laurie A Frakes | Hematology/oncology | California Cancer Associates for Research and Excellence, Inc.. | 447 N El Camino Real, D200, Encinitas, CA 92024-1302 |
Jennifer Hope Levine | Physician Assistant | California Cancer Associates for Research and Excellence, Inc.. | 447 N El Camino Real, D200, Encinitas, CA 92024-1302 |
Find all physicians in zip 92024 |
City | ENCINITAS |
Zip Code | 92024 |
Specialty | NURSE PRACTITIONER |
City + Specialty | ENCINITAS + NURSE PRACTITIONER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.