Ron Christian Cheng Crisostomo
Ron Christian Cheng Crisostomo is a Nurse Practitioner in Elk Grove, California. Qualified in 2021, 5 years ago. Practices with Mark Twain Medical Center, a 27-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 5
- Licensed in
- CA
- In the registry since
- 2022
Practice location Address checks out
9306 Bennoel CtElk Grove, CA 95758-7620
Phone: (501) 838-9179
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 95020601 (CA) |
|---|
Record details
| NPI number | 1194454900 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 7, 2022 |
| Last updated in NPPES | June 7, 2022 |
| Certification date | June 7, 2022 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Mark Twain Medical Center — 27 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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