| Brett Larson, PA-C | |
|
14 Monarch Bay Plz # 122, Dana Point, CA 92629-3424 | |
| (949) 350-7508 | |
| Not Available |
| Full Name | Brett Larson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 12 Years |
| Location | 14 Monarch Bay Plz # 122, Dana Point, 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 |
|---|---|---|---|
| 1154724052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 51996 (California) | Primary |
| 207Q00000X | Family Medicine | 51996 (California) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hoag Memorial Hospital Presbyterian | Newport beach, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hmts Inc | 1951750413 | 118 |
| Entity Name | Healthcare Partners Affiliates Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659312593 PECOS PAC ID: 7315842002 Enrollment ID: O20031204001258 |
| Entity Name | John P. Kelly, M.D., a Professional Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558586438 PECOS PAC ID: 8628122546 Enrollment ID: O20090812000198 |
| Entity Name | Harbor Psychiatry & Mental Health Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780050054 PECOS PAC ID: 8729394572 Enrollment ID: O20150825004062 |
| Entity Name | Hoag Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942799523 PECOS PAC ID: 3274872064 Enrollment ID: O20190221001936 |
| Entity Name | Hmts Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326828575 PECOS PAC ID: 1951750413 Enrollment ID: O20231208001304 |
| Mailing Address | Practice Location Address |
|---|---|
| Brett Larson, PA-C 14 Monarch Bay Plz # 122, Dana Point, CA 92629-3424 Ph: (949) 350-7508 | Brett Larson, PA-C 14 Monarch Bay Plz # 122, Dana Point, CA 92629-3424 Ph: (949) 350-7508 |
Mrs. Jessica D Goerig, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 33971 Selva Rd Ste 200, Dana Point, CA 92629 Phone: 949-276-2600 Fax: 949-276-2601 |
Sara Wiens, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 24060 Camino Del Avion, Ste A, Dana Point, CA 92629 Phone: 562-947-8755 |
Madeline Grace Mcclure Fee, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 34213 Pacific Coast Hwy, Dana Point, CA 92629 Phone: 949-248-4547 |
Kyle Nathan Rubinstein, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 24060 Camino Del Avion Ste A, Dana Point, CA 92629 Phone: 949-248-8900 |
Shylie Falahatimarvast, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 34213 Pacific Coast Hwy, Dana Point, CA 92629 Phone: 949-248-4547 |