4310 ORANGE ST
RIVERSIDE, CA 92501-3829 US PECOS Enrolled
Cielito Blanco Capistrano
Nurse Practitioner (Family)
- RIVERSIDE, CA
- Phone: (951)-781-6335
- Last Updated 3/13/2015
Overview
Cielito Blanco Capistrano is a Nurse Practitioner (Family) in the RIVERSIDE area. Cielito Blanco Capistrano primary office location is at 4310 ORANGE ST and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1013353549 and the information was updated approximately 9 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 22822 | CA |
No Identifiers found
| Taxonomy | State | Primary? |
|---|---|---|
| Nurse Practitioner (Family) - Taxonomy Code 363LF0000X | CA | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | |
| PECOS Individual PAC ID: | |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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