| Mark Okawachi, PA-C | |
|
1425 S Main St, Walnut Creek, CA 94596-5318 | |
| (925) 295-4130 | |
| Not Available |
| Full Name | Mark Okawachi |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Surgical |
| Location | 1425 S Main St, Walnut Creek, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114078631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | C16009 (California) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Okawachi, PA-C 1022 Elm Ct, El Cerrito, CA 94530-2602 Ph: (510) 526-1612 | Mark Okawachi, PA-C 1425 S Main St, Walnut Creek, CA 94596-5318 Ph: (925) 295-4130 |
Julia Alexa Ondarza, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2637 Shadelands Dr, Walnut Creek, CA 94598 Phone: 925-430-5335 Fax: 925-430-5446 |
Ali Hussain Mithani, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 130 La Casa Via Ste 210, Walnut Creek, CA 94598 Phone: 925-309-5155 |
Lora Mina Rancourt, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2625 Shadelands Dr, Walnut Creek, CA 94598 Phone: 925-939-8585 |
Haley Nichole Folta, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1601 Ygnacio Valley Rd, Walnut Creek, CA 94598 Phone: 813-302-8000 |
Jennifer Price, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1450 Treat Blvd Ste 250b, Walnut Creek, CA 94597 Phone: 925-296-9740 |
Mr. James Quintella, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 301 Lennon Ln Ste 100, Walnut Creek, CA 94598 Phone: 925-944-0110 Fax: 925-944-0960 |
Jodi Reynolds, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 925-295-4130 |