| Lisa M Bornmann, PA-C | |
|
36485 Inland Valley Dr, Wildomar, CA 92595-9681 | |
| (909) 677-9773 | |
| Not Available |
| Full Name | Lisa M Bornmann |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 36485 Inland Valley Dr, Wildomar, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083729891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA14381 (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 | Em Alliance California APC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376305755 PECOS PAC ID: 1951749894 Enrollment ID: O20240410003580 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa M Bornmann, PA-C 2100 Powell St, Suite 900, Emeryville, CA 94608-1826 Ph: (510) 350-2600 | Lisa M Bornmann, PA-C 36485 Inland Valley Dr, Wildomar, CA 92595-9681 Ph: (909) 677-9773 |
Charity Morris Yoon, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 23905 Clinton Keith Rd, #114, Wildomar, CA 92595 Phone: 951-672-7673 Fax: 951-672-1197 |
Paul K Grover, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 36485 Inland Valley Dr, Wildomar, CA 92595 Phone: 909-677-9773 |
Julie Marie Shryock Elias, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 36485 Inland Valley Dr, Wildomar, CA 92595 Phone: 951-304-7187 |
Joseph S Demattia, P.A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 36485 Inland Valley Dr, Wildomar, CA 92595 Phone: 909-677-9773 |
Michael A Davalos, PA, MS Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 36243 Inland Valley Dr, Ste 180, Wildomar, CA 92595 Phone: 951-600-0110 Fax: 951-600-4645 |
Mrs. Glennise Daneen Pratt, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 36320 Inland Valley Drive, 307, Wildomar, CA 92595 Phone: 951-600-0110 Fax: 951-600-1489 |
Christopher David Doan, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 36485 Inland Valley Dr, Wildomar, CA 92595 Phone: 951-677-1111 |