Nellie Pardo (NPI# 1699761049, PAC ID# 3274509245) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1699761049 |
| PAC ID by PECOS | 3274509245 |
| Professional Enrollment ID | I20160324001485 |
| Full Name | Nellie Pardo |
| Organization Legal Name | ST JOSEPH HERITAGE HEALTHCARE |
| Address |
17059 Main St Hesperia CA 92345-6067 |
| Phone Number | 7609564170 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1972 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 8921993205 |
| Number of Group Practice Members | 982 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 120005 | HILO MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 17059 Main St, Hesperia, CA 92345-6067 | 7609564170 | ST JOSEPH HERITAGE HEALTHCARE |
| Organization Legal Name | ST JOSEPH HERITAGE HEALTHCARE |
| Physicians | 1022 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tarah N Nelson | Nurse Practitioner | St Joseph Heritage Healthcare | 2460 Buhne St, Eureka, CA 95501-3207 |
| Kristen Shay Rasnick | Nurse Practitioner | St Joseph Heritage Healthcare | 6580 Hembree Ln, Suite 270, Windsor, CA 95492-6885 |
| Basit Rahim | Neurology | St Joseph Heritage Healthcare | 26800 Crown Valley Pkwy, Suite 385, Mission Viejo, CA 92691-7320 |
| Elizabeth Wachtel O'brien | Certified Nurse Midwife (cnm) | St Joseph Heritage Healthcare | 3307 Renner Dr, Fortuna, CA 95540-3119 |
| Michael James Glamore | Urology | St Joseph Heritage Healthcare | 1701 4th St, Suite 200, Santa Rosa, CA 95404-3661 |
| Teresa E Shields-szabo | Family Medicine | St Joseph Heritage Healthcare | 26795 Portola Pkwy, Foothill Ranch, CA 92610-1713 |
| Austin James Perkins | Physician Assistant | St Joseph Heritage Healthcare | 100 E Valencia Mesa Dr, Suite 105, Fullerton, CA 92835-3816 |
| Sherin Ann Chakkalakel | Nurse Practitioner | St Joseph Heritage Healthcare | 905 E Washington St, St Joseph Heritage Healthcare, Petaluma, CA 94952-3389 |
| Jamie Lea Meyer | Nurse Practitioner | St Joseph Heritage Healthcare | 2332 23rd St, Eureka, CA 95501-3231 |
| Laura Elizabeth Hall | Nurse Practitioner | St Joseph Heritage Healthcare | 2280 Harrison Ave, Suite K, Eureka, CA 95501-3200 |
| Street Address |
17059 MAIN ST |
| City | HESPERIA |
| State | CA |
| Zip | 92345-6067 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Malini Kethireddy | Family Practice | St Joseph Heritage Healthcare | 17059 Main St, Hesperia, CA 92345-6067 |
| Elena R Lopez | Family Practice | St Joseph Heritage Healthcare | 17059 Main St, Hesperia, CA 92345-6067 |
| Franklin Inouye | Optometry | St Joseph Heritage Healthcare | 17059 Main St, Hesperia, CA 92345-6067 |
| Alex Min | Internal Medicine | St Joseph Heritage Healthcare | 17059 Main St, Hesperia, CA 92345-6067 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brenda J Reid | Chiropractic | 16727 Bear Valley Rd, Suite 260, Hesperia, CA 92345-1406 | |
| Eric J Storm | Chiropractic | Eric J Storm and Brenda J Reid | 16727 Bear Valley Rd, Suite 260, Hesperia, CA 92345-1406 |
| Rosina B Frize | Physician Assistant | Dr.mikel Walk In Clinic Inc | 15791 Bear Valley Rd, Hesperia, CA 92345-1746 |
| David Shin | Optometry | 15923 Bear Valley Rd, B100, Hesperia, CA 92345-1762 | |
| Joe Louis Juarez Jr. | Chiropractic | 15679 Bear Valley Rd, Suite B, Hesperia, CA 92345-1791 | |
| Irma Ann Juarez-drew | Chiropractic | 15679 Bear Valley Rd, Suite B, Hesperia, CA 92345-1791 | |
| Khin M Naing | Internal Medicine | Desert Family Practice Associates | 11919 Hesperia Rd A, Hesperia, CA 92345-2158 |
| Gurpal Phaguda | Family Medicine | 15462 Main St, Hesperia, CA 92345-3318 | |
| Eric R Hansen | Family Medicine | 14575 Main St, Hesperia, CA 92345-3322 | |
| Michael A Parrish | Physical Therapy | 15235 Main St, Hesperia, CA 92345-3326 | |
| Find all physicians in zip 92345 | |||
| City | HESPERIA |
| Zip Code | 92345 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | HESPERIA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Nellie Pardo.
| 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.