| Kaitlyn Wooton, PA | |
|
11234 Anderson St, Loma Linda, CA 92350-1716 | |
| (909) 558-4000 | |
| Not Available |
| Full Name | Kaitlyn Wooton |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 11234 Anderson St, Loma Linda, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902570351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 60147 (California) | Primary |
| Entity Name | Cep America - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 |
| Entity Name | Faculty Physicians and Surgeons of Llusm |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981 |
| Entity Name | Cep America - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548667843 PECOS PAC ID: 6103739131 Enrollment ID: O20040121000458 |
| Mailing Address | Practice Location Address |
|---|---|
| Kaitlyn Wooton, PA 33562 Yucaipa Blvd Ste 4-219, Yucaipa, CA 92399-2072 Ph: Not Available | Kaitlyn Wooton, PA 11234 Anderson St, Loma Linda, CA 92350-1716 Ph: (909) 558-4000 |
Mr. Randal Keith Gilman, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 11234 Anderson St, Loma Linda, CA 92350 Phone: 909-558-4475 Fax: 909-558-4143 |
Ms. Jocelyn Isabel Castaneda, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 24785 Anderson St, Loma Linda, CA 92354 Phone: 909-558-7294 |
Elaine Marie Legaspi, Physician Assistant Medicare: Medicare Enrolled Practice Location: 10859 Heirloom Way, Loma Linda, CA 92354 Phone: 626-347-5904 |
Manjot Kaur, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11175 Campus St, Loma Linda, CA 92350 Phone: 909-558-1000 |
Liming Bu, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 25333 Barton Rd, Loma Linda, CA 92350 Phone: 909-558-6641 |
Minh Anh Luong Maina, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 25455 Barton Rd Ste 204b, Loma Linda, CA 92354 Phone: 909-558-6600 |
Marque R Dietzler, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-4444 |