Jacqueline R Johnson (NPI# 1063957009, PAC ID# 3971886185) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1063957009 |
| PAC ID by PECOS | 3971886185 |
| Professional Enrollment ID | I20170214001850 |
| Full Name | Jacqueline R Johnson |
| Organization Legal Name | EAST VALLEY COMMUNITY HEALTH CENTER, INC. |
| Address |
420 S Glendora Ave West Covina CA 91790-3001 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9234041765 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 420 S Glendora Ave, West Covina, CA 91790-3001 | EAST VALLEY COMMUNITY HEALTH CENTER, INC. |
| Organization Legal Name | EAST VALLEY COMMUNITY HEALTH CENTER, INC. |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arvin Almazan Anabo | Physician Assistant | East Valley Community Health Center, Inc. | 1555 S Garey Ave, Pomona, CA 91766-5222 |
| Gina M Liang | Physician Assistant | East Valley Community Health Center, Inc. | 420 S Glendora Ave, West Covina, CA 91790-3001 |
| Chaonan Ding | Family Medicine | East Valley Community Health Center, Inc. | 420 S Glendora Ave, West Covina, CA 91790-3001 |
| Christy C Tan | Nurse Practitioner | East Valley Community Health Center, Inc. | 420 S Glendora Ave, West Covina, CA 91790-3001 |
| Chinhnam Hathuc | Family Medicine | East Valley Community Health Center, Inc. | 1555 S Garey Ave, Pomona, CA 91766-5222 |
| Rebecca K Ogembo | Nurse Practitioner | East Valley Community Health Center, Inc. | 1555 S Garey Ave, Pomona, CA 91766-5222 |
| Wei Li | Nurse Practitioner | East Valley Community Health Center, Inc. | 420 S Glendora Ave, West Covina, CA 91790-3001 |
| June Elaine T Juanico | Physician Assistant | East Valley Community Health Center, Inc. | 1555 S Garey Ave, Pomona, CA 91766-5222 |
| Mary Grace Santos | Physician Assistant | East Valley Community Health Center, Inc. | 1555 S Garey Ave, Pomona, CA 91766-5222 |
| Hastings Ford Lane | Nurse Practitioner | East Valley Community Health Center, Inc. | 1555 S Garey Ave, Pomona, CA 91766-5222 |
| Street Address |
420 S GLENDORA AVE |
| City | WEST COVINA |
| State | CA |
| Zip | 91790-3001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gina M Liang | Physician Assistant | East Valley Community Health Center, Inc. | 420 S Glendora Ave, West Covina, CA 91790-3001 |
| Chaonan Ding | Family Medicine | East Valley Community Health Center, Inc. | 420 S Glendora Ave, West Covina, CA 91790-3001 |
| Christy C Tan | Nurse Practitioner | East Valley Community Health Center, Inc. | 420 S Glendora Ave, West Covina, CA 91790-3001 |
| Wei Li | Nurse Practitioner | East Valley Community Health Center, Inc. | 420 S Glendora Ave, West Covina, CA 91790-3001 |
| Brenda V Bernal | Nurse Practitioner | East Valley Community Health Center, Inc. | 420 S Glendora Ave, West Covina, CA 91790-3001 |
| Julie Alcid | Nurse Practitioner | East Valley Community Health Center, Inc. | 420 S Glendora Ave, West Covina, CA 91790-3001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Federico Hinojosa | Physician Assistant | 1901 W Badillo St, West Covina, CA 91790-1133 | |
| Hemalatha Parekh | General Practice | Indus Healthcare, Inc. | 333 N Sunset Ave, West Covina, CA 91790-1651 |
| Susan Lissette Vasquez | Physician Assistant | Indus Healthcare, Inc. | 333 N Sunset Ave, West Covina, CA 91790-1651 |
| Cesar A Jimenez | Internal Medicine | Mayflower Medical Group Inc | 140 N Orange Ave, Suite 100, West Covina, CA 91790-2016 |
| Suneetha S. Ali | Obstetrics/gynecology | Mayflower Medical Group Inc | 140 N Orange Ave, Suite 100, West Covina, CA 91790-2016 |
| Lina C. Dela Cruz | Internal Medicine | Mayflower Medical Group Inc | 140 N Orange Ave, Suite 100, West Covina, CA 91790-2016 |
| Zinovi Rozenblat | Psychiatry | Pacific Clinics | 1517 W Garvey Ave N, West Covina, CA 91790-2138 |
| Leila E Jimenez | Nurse Practitioner | Pacific Clinics | 1517 W Garvey Ave N, West Covina, CA 91790-2138 |
| Anjana Wilkerson | Physical Therapy | Southern California Sports Rehabilitation Inc. | 1321 W Garvey N Ave, West Covina, CA 91790-2242 |
| Akbar Omar | General Practice | 222 N Sunset Ave, Suite C, West Covina, CA 91790-2278 | |
| Find all physicians in zip 91790 | |||
| City | WEST COVINA |
| Zip Code | 91790 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WEST COVINA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jacqueline R Johnson.
| 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.