Marlyne Abon, NURSE PRACTITIONER
Individual provider Active NPI Nurse Practitioner · Cathedral City, CA
NPI 1982003604 · NPPES record last updated May 26, 2015
Key facts
- NPI
- 1982003604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 95000981 (CA)
- Practice address
- 69175 Ramon Rd BLDG a
Cathedral City, CA 92234-3344 - Phone
- (760) 321-6776
- NPI assigned
- Aug 19, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 15
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dap Health Inc
Practice addresses (Care Compare)
1695 N Sunrise Way
Palm Springs, CA 92262-3701
Phone (760) 323-2118
66675 Pierson Blvd
Desert Hot Springs, CA 92240-3737
Phone (760) 676-5240
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150202000462 | CA | Practitioner - Nurse Practitioner | 6406171099 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dap Health, Inc. | Current | Accepting new patients | |
| Dap Health Inc. | Current | Accepting new patients | |
| Dap Health, Inc. | Current |
Accepting new patients | |
| Dap Health, Inc. | Current |
Accepting new patients |
Locations
58581 US Highway 371
Ste Fgh
Anza, CA 92539
Phone (951) 763-4759
69175 Ramon Rd
#A
Cathedral Cty, CA 92234
Phone (760) 321-6776
1695 N Sunrise Way
Palm Springs, CA 92262
Phone (760) 325-9370
Interoperability endpoints
- mabon684535@direct.ochin.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95000981 | CA | Yes |
Addresses
Primary practice location
69175 Ramon Rd BLDG a
Cathedral City, CA 92234-3344
Mailing address
3938 E Camino San Simeon
Palm Springs, CA 92264-1310
Phone (760) 832-9344
Other names
- Marlyne Coloma
Other providers in Cathedral City, CA
- 4J'S Elderly Care Inc.
- Kenneth Tembei Acha
- Acker Chiropractic Inc
- Cory Wayne Acker
- Action Recovery Services. Inc
- Aegis Physical Therapy Inc.
All providers in Cathedral City, CA · Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.