Crispin J Mar, PA-C is a
Physician Assistant - Surgical physician based in Rancho Santa Margarita, California. Crispin J Mar is licensed to practice in California (license number PA10329) and his current practice location is 22431 Antonio Pkwy # B160-613, Rancho Santa Margarita, California. He can be reached at his office (for appointments etc.) via phone at
(855) 727-2251.
NPI number for Crispin J Mar is 1649203183 and his current mailing address is 22431 Antonio Pkwy # B160-613, Rancho Santa Margarita, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1649203183.
Physician's Profile
| Full Name | Crispin J Mar |
|---|
| Gender | Male |
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| Speciality | Physician Assistant - Surgical |
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| Location | 22431 Antonio Pkwy # B160-613, Rancho Santa Margarita, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1649203183
- Provider Enumeration Date: 07/08/2006
- Last Update Date: 06/21/2024
Medical Identifiers
Medical identifiers for Crispin J Mar such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1649203183 | NPI | - | NPPES |
| 10329 | Other | CA | PHYSICIAN ASSISTANT |
| 8402 | Other | AZ | PHYSICIAN ASSISTANT |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | PA10329 (California) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | PA10329 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Crispin J Mar is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Crispin J Mar, PA-C 22431 Antonio Pkwy # B160-613, Rancho Santa Margarita, CA 92688-2804 Ph: (855) 727-2251 | Crispin J Mar, PA-C 22431 Antonio Pkwy # B160-613, Rancho Santa Margarita, CA 92688-2804 Ph: (855) 727-2251 |
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