| Mary Grace Matin, FNP-C | |
|
3090 Bristol St Ste 200, Costa Mesa, CA 92626-3061 | |
| (888) 789-9585 | |
| (562) 803-4500 |
| Full Name | Mary Grace Matin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 3090 Bristol St Ste 200, Costa Mesa, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427779297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 95021844 (California) | Primary |
| Entity Name | Gn Medical Associates, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275576522 PECOS PAC ID: 5092605816 Enrollment ID: O20040316001465 |
| Entity Name | Careconnectmd Ca Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366063125 PECOS PAC ID: 5496178055 Enrollment ID: O20200715000596 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Grace Matin, FNP-C 3090 Bristol St Ste 200, Costa Mesa, CA 92626-3061 Ph: (888) 789-9585 | Mary Grace Matin, FNP-C 3090 Bristol St Ste 200, Costa Mesa, CA 92626-3061 Ph: (888) 789-9585 |
Alexandra Hutchison, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1530 Baker St Ste A, Costa Mesa, CA 92626 Phone: 714-559-5436 | |
Judith Rivera, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 Anton Blvd Fl 11, Costa Mesa, CA 92626 Phone: 623-374-7774 Fax: 855-420-6361 | |
Madison Lucas, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 150 Paularino Ave Ste D182, Costa Mesa, CA 92626 Phone: 866-300-7227 | |
Mrs. Suzanne Clara Larkin, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1665 Scenic Ave, Costa Mesa, CA 92626 Phone: 714-436-4444 | |
Rachel Renee Cliser, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 188 E 17th St Ste 101, Costa Mesa, CA 92627 Phone: 949-515-4548 | |
Courtney Proctor, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 W 19th St, Costa Mesa, CA 92627 Phone: 714-922-4100 | |
Susan Curtin, RN,MSN,PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2045 Meyer Pl, Bldg C, Costa Mesa, CA 92627 Phone: 949-515-6730 Fax: 949-515-6727 |