| Alec Jeffrey Larson, | |
|
15611 Pomerado Rd, Poway, CA 92064-2437 | |
| (858) 675-3200 | |
| Not Available |
| Full Name | Alec Jeffrey Larson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 15611 Pomerado Rd, Poway, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598400772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Arch Health Partners Inc | 9931239027 | 141 |
| Graybill Medical Group Inc | 9335050517 | 103 |
| Entity Name | San Francisco Physicians International Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841220720 PECOS PAC ID: 5597679225 Enrollment ID: O20031117000934 |
| Entity Name | Graybill Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891729745 PECOS PAC ID: 9335050517 Enrollment ID: O20040108000857 |
| Entity Name | Arch Health Partners Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649500141 PECOS PAC ID: 9931239027 Enrollment ID: O20100616000715 |
| Mailing Address | Practice Location Address |
|---|---|
| Alec Jeffrey Larson, 1935 Red Rose Way Apt 2, Santa Barbara, CA 93109-1545 Ph: Not Available | Alec Jeffrey Larson, 15611 Pomerado Rd, Poway, CA 92064-2437 Ph: (858) 675-3200 |
Veronica Maria Montes, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 15525 Pomerado Rd Ste E6, Poway, CA 92064 Phone: 858-312-1717 |
Nicholas Mazzuca, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 16937 Valle Verde Rd, Poway, CA 92064 Phone: 805-233-0608 |
Joel Thomas, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 15706 Pomerado Rd Ste 206, Poway, CA 92064 Phone: 858-321-3133 |
Ms. Victoria Lynne Falasco, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 15725 Pomerado Rd Ste 201, Poway, CA 92064 Phone: 760-610-0522 Fax: 760-610-0523 |
Mrs. Katherine F Bradshaw-smith, PHYSICIAN ASST CERT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 15721 Pomerado Road, Poway, CA 92064 Phone: 858-673-0653 Fax: 858-485-0371 |
David Aaron Hustosky, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 15611 Pomerado Rd, Poway, CA 92064 Phone: 858-675-3100 |
Kristine Robinson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13053 Camino Del Valle, Poway, CA 92064 Phone: 951-837-0073 |