| Johnny Quan, | |
|
1515 E Ocean Ave, Lompoc, CA 93436-7092 | |
| (805) 737-3300 | |
| Not Available |
| Full Name | Johnny Quan |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1515 E Ocean Ave, Lompoc, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174037840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 55130 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Entity Name | Los Robles Emergency Physicians Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417983552 PECOS PAC ID: 4880582618 Enrollment ID: O20040916000469 |
| Entity Name | Ventura Emergency Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518298686 PECOS PAC ID: 7618012063 Enrollment ID: O20100310000057 |
| Entity Name | Ojai Emergency Physicians Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497152755 PECOS PAC ID: 3577889351 Enrollment ID: O20150313002134 |
| Mailing Address | Practice Location Address |
|---|---|
| Johnny Quan, 11442 Kathy Ln, Garden Grove, CA 92840-1717 Ph: (562) 506-7159 | Johnny Quan, 1515 E Ocean Ave, Lompoc, CA 93436-7092 Ph: (805) 737-3300 |
Martha C Salcido, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 425 W Central Ave, Lompoc, CA 93436 Phone: 805-737-1774 Fax: 805-737-1772 |
Sarah Elizabeth Hill, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 301 N R St, Lompoc, CA 93436 Phone: 805-737-6400 |
Caitlyn Dipinto, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 216 N Third St, Lompoc, CA 93436 Phone: 805-736-3466 |
Mr. Kenneth Mark Hyman, PA-C, D.C. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3329 Erica Pl, Lompoc, CA 93436 Phone: 805-588-0161 |
Scott Kristofer Freeberg, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1515 E Ocean Ave, Lompoc, CA 93436 Phone: 805-737-3300 |
Paul Joe Gilardone, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 217 West Central Avenue, Suite G, Lompoc, CA 93436 Phone: 805-735-4292 Fax: 805-735-4293 |
Stephanie Nichole Thiriot, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 217 W Central Ave Ste G, Lompoc, CA 93436 Phone: 805-735-4292 Fax: 805-735-4293 |