Yvonne Carlo Medock in San Bernardino - Nurse Practitioner
Yvonne Carlo Medock - NPI 1700948924
Yvonne Carlo Medock is a Nurse Practitioner in San Bernardino, California. Yvonne Carlo Medock practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Yvonne Carlo Medock is 1700948924. The last update date is 2017-05-22.
Yvonne Carlo Medock's current location address is 190 E. Highland Ave, San Bernardino, California. You can contact this provider via phone number 9098824788 and fax number 9098828819. The mailing address for Yvonne Carlo Medock is 190 E. Highland Ave, San Bernardino, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Yvonne Carlo Medock |
|---|---|
| Address | 190 E. Highland Ave, San Bernardino, California |
| Phone Number | 9098824788 |
| Fax Number | 9098828819 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1700948924 |
|---|---|
| Provider Enumeration Date | 2006-12-14 |
| Last Updated Date | 2017-05-22 |
Provider Mailing Address Detail
| Address | 190 E. Highland Ave |
|---|---|
| City | San Bernardino |
| State | California (CA) |
| Post Code | 924043658 |
| Phone Number | 9098824788 |
| Fax Number | 9098828819 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | AP30006841 |
|
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P01805640-DU518 | CA | RAILROAD MEDICARE | |
| 7252016 | CA | MEDICAL COLTON EFF 7/25/16 | |
| P01288547/DU403 | CA | RAILROAD MEDICARE-SAN BERNARDI | |
| EFF:2/21/13-FON | CA | -- | |
| EFF.4/23/13-S.R | CA | -- | |
| EFF:2/21/13 SAN | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Yvonne Carlo Medock by the Centers for Medicare & Medicaid Services?
The Yvonne Carlo Medock has been issued the NPI (National Provider Identifier) 1700948924 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Yvonne Carlo Medock?
The Yvonne Carlo Medock is situated at 190 E. Highland Ave, in the city of San Bernardino, state of CA, with the zip code 924043658.
What is Yvonne Carlo Medock's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Yvonne Carlo Medock is Nurse Practitioner, and the corresponding taxonomy classification code for this specialized field is 363L00000X.
On what date was the 1700948924 assigned to Yvonne Carlo Medock?
The Yvonne Carlo Medock was issued its 1700948924 on 2006-12-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Yvonne Carlo Medock, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Yvonne Carlo Medock, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-05-22.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN