| Daniela Ixmucane Rodriguez-jaquez, PA-C | |
|
77 Casa St, San Luis Obispo, CA 93405-5803 | |
| (805) 269-1500 | |
| (805) 269-1585 |
| Full Name | Daniela Ixmucane Rodriguez-jaquez |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 77 Casa St, San Luis Obispo, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275192395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 56719 (California) | Primary |
| Entity Name | Community Health Centers of the Central Coast Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336166248 PECOS PAC ID: 7416868120 Enrollment ID: O20040115001161 |
| Entity Name | Planned Parenthood Mar Monte Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174579957 PECOS PAC ID: 1456248954 Enrollment ID: O20040301000438 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniela Ixmucane Rodriguez-jaquez, PA-C 2050 S Blosser Rd, Santa Maria, CA 93458-7310 Ph: (805) 361-8030 | Daniela Ixmucane Rodriguez-jaquez, PA-C 77 Casa St, San Luis Obispo, CA 93405-5803 Ph: (805) 269-1500 |
Taylor Suzanne Wahl, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1235 Osos St # 100, San Luis Obispo, CA 93401 Phone: 805-549-0888 |
Guillemette Calderwood, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3241 S Higuera St, San Luis Obispo, CA 93401 Phone: 805-544-4460 |
Mrs. Taryn Alexandra Pearl, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 892 Aerovista Pl, Suite 130, San Luis Obispo, CA 93401 Phone: 805-395-3277 Fax: 805-541-1203 |
Karina I Cervantes, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1235 Osos St Ste 100, San Luis Obispo, CA 93401 Phone: 805-549-0888 |
Gary Mitchell Westbrock, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 715 Tank Farm Rd Ste A, San Luis Obispo, CA 93401 Phone: 805-541-4018 Fax: 805-543-6271 |
Jacqualine J. Dancy, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 283 Madonna Rd, Suite B, San Luis Obispo, CA 93405 Phone: 805-549-8880 Fax: 805-549-8743 |
Natalie Robertson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 892 Aerovista Pl Ste 120, San Luis Obispo, CA 93401 Phone: 805-544-5567 |