| Larry Brock Butler, PA | |
|
130 Cedar Rd, Vista, CA 92083-5102 | |
| (760) 806-5500 | |
| Not Available |
| Full Name | Larry Brock Butler |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 130 Cedar Rd, Vista, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073138103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA60323 (California) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Entity Name | Santibanez Pac Utah |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881469484 PECOS PAC ID: 1355785437 Enrollment ID: O20240216000756 |
| Entity Name | Post Acute Medical PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730713025 PECOS PAC ID: 5193156115 Enrollment ID: O20250708004173 |
| Mailing Address | Practice Location Address |
|---|---|
| Larry Brock Butler, PA 10790 Rancho Bernardo Rd, San Diego, CA 92127-5705 Ph: (760) 806-5500 | Larry Brock Butler, PA 130 Cedar Rd, Vista, CA 92083-5102 Ph: (760) 806-5500 |
Abbie Epley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 130 Cedar Rd, Vista, CA 92083 Phone: 760-806-5500 |
Megan Hogg, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 969 S Santa Fe Ave # A, Vista, CA 92083 Phone: 760-941-7050 Fax: 760-941-7142 |
Mr. Steve Keith Phillips, PA-S Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2243 Green Hills Way, Vista, CA 92084 Phone: 760-458-9413 |
Kristina Lepard, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 204 S Santa Fe Ave, Vista, CA 92084 Phone: 760-941-8888 |
Ms. Paula Sorrentino, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 145 Thunder Dr, Vista, CA 92083 Phone: 760-630-5487 Fax: 760-630-2558 |
April Hebard Weaver, MPA, P.A-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1000 Vale Terrace Dr, Vista, CA 92084 Phone: 760-631-5000 Fax: 760-414-3713 |
Elise Jordan, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 910 Sycamore Ave Ste 270, Vista, CA 92081 Phone: 760-598-1776 |