Mariela Celeste Ventocilla
Mariela Celeste Ventocilla is a Family Practice in Twentynine Palms, California. Graduated from University of California, Davis School of Medicine in 2015, 11 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in Virginia.
- Years since qualifying
- 11
- Trained at
- University of California, Davis School of Medicine
- Licensed in
- VA
- In the registry since
- 2013
- Specialties on file
- 3
Practice location Address checks out
1145 Sturgis RdTwentynine Palms, CA 92277
Phone: (916) 734-2356
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Medicine Physician (primary) | Taxonomy 207QA0505X · Licence 010127041 (VA) |
|---|---|
| Military Health Care Provider | Taxonomy 171000000X |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1972846756 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 31, 2013 |
| Last updated in NPPES | September 23, 2022 |
| Certification date | September 20, 2022 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE |
| Graduated | 2015 (11 years in practice) |
| Group practice | Southern California Permanente Medical Group — 11242 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Twentynine Palms
-
Dr. Douglas Taylor Hofstetter, MD
1145 Sturgis Rd, Twentynine Palms, CA 92278 · (760) 830-2190
-
Dr. Riley Hoyer, MD
Naval Hospital Twentynine Palms 1145 Sturgis Rd, Twentynine Palms, CA 92278 · (607) 830-2772
-
Dr. Anastasia Kostrubala, MD
1145 Sturgis Rd, Twentynine Palms, CA 92277 · (760) 830-2724
-
Kevin-Thinh Ho Hoang Thai, DO
1145 Sturgis Rd, Twentynine Palms, CA 92278-0000 · (760) 830-2190