| Luke Pata, PA-C | |
|
19245 Slate Creek Dr, Walnut, CA 91789-4310 | |
| (626) 642-6134 | |
| Not Available |
| Full Name | Luke Pata |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 19245 Slate Creek Dr, Walnut, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558021097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern California Permanente Medical Group | 6002729175 | 11250 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Luke Pata, PA-C 19245 Slate Creek Dr, Walnut, CA 91789-4310 Ph: (626) 642-6134 | Luke Pata, PA-C 19245 Slate Creek Dr, Walnut, CA 91789-4310 Ph: (626) 642-6134 |
Christiana De Jesus, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1362 Glenthorpe Dr, Walnut, CA 91789 Phone: 909-576-7810 |
Isabel Elodia Wilhelm, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 19524 Avenida Del Campo, Walnut, CA 91789 Phone: 909-731-4761 |
Fei Fan Liu, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1569 Fairway Dr Ste 226, Walnut, CA 91789 Phone: 162-643-3554 |
Mr. Casey Galicia, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 855 Margaret Ln, Walnut, CA 91789 Phone: 626-374-4660 |
Dan Zeng, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 20034 Esquiline Ave, Walnut, CA 91789 Phone: 626-807-7676 |
Jessica Lai, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 857 Coyote Dr, Walnut, CA 91789 Phone: 909-538-9863 |
Craig Chase, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 18710 Amar Rd Ste A, Walnut, CA 91789 Phone: 626-522-6553 Fax: 844-400-1763 |