| Gary R Chiswick Jr, PA | |
|
150 Valpreda Rd, San Marcos, CA 92069-2973 | |
| (760) 736-6780 | |
| Not Available |
| Full Name | Gary R Chiswick Jr |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 150 Valpreda Rd, San Marcos, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174964001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA22667 (California) | Primary |
| Entity Name | North County Health Project, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245246917 PECOS PAC ID: 2769390939 Enrollment ID: O20040122001126 |
| Mailing Address | Practice Location Address |
|---|---|
| Gary R Chiswick Jr, PA 150 Valpreda Rd, San Marcos, CA 92069-2973 Ph: (760) 736-6780 | Gary R Chiswick Jr, PA 150 Valpreda Rd, San Marcos, CA 92069-2973 Ph: (760) 736-6780 |
Gabriela Andrea Juache-velasco, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 150 Valpreda Rd, San Marcos, CA 92069 Phone: 760-736-6767 Fax: 760-736-8740 |
Bryant Nam Vo, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2150 Coast Ave, San Marcos, CA 92078 Phone: 760-481-8087 |
Mrs. Jodi Laine Tarutis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 150 Valpreda Rd, San Marcos, CA 92069 Phone: 760-736-6700 Fax: 760-736-6700 |
Ms. Joanna Shiow-jun Lee, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2002 Silverado St, San Marcos, CA 92078 Phone: 909-263-1036 |
Mrs. Brynn Babette Waddington, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1706 Descanso Ave, San Marcos, CA 92078 Phone: 760-280-2230 |
William Robert Mathias, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 150 Valpreda Rd, San Marcos, CA 92069 Phone: 760-736-6767 |
Bahareh Tahriri, Physician Assistant Medicare: Medicare Enrolled Practice Location: 150 Valpreda Rd, San Marcos, CA 92069 Phone: 760-736-6780 |