| Maya Johnson, PA-C | |
|
150 Tejas Pl, Nipomo, CA 93444-9123 | |
| (805) 929-3211 | |
| Not Available |
| Full Name | Maya Johnson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 150 Tejas Pl, Nipomo, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538717772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 60205 (California) | Primary |
| Entity Name | Community Health Centers of the Central Coast Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336166248 PECOS PAC ID: 7416868120 Enrollment ID: O20040115001161 |
| Mailing Address | Practice Location Address |
|---|---|
| Maya Johnson, PA-C 2050 S Blosser Rd, Santa Maria, CA 93458-7310 Ph: (805) 361-8030 | Maya Johnson, PA-C 150 Tejas Pl, Nipomo, CA 93444-9123 Ph: (805) 929-3211 |
Ms. Marisa Elizabeth Ayers, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 697 W Tefft St, Nipomo, CA 93444 Phone: 805-929-2272 Fax: 805-929-1454 |
Kyle Cohen, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 150 Tejas Pl, Nipomo, CA 93444 Phone: 805-238-7250 |
Valerie Jenine Reilly, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 699 W Tefft St, Suite A, Nipomo, CA 93444 Phone: 805-930-9995 Fax: 805-929-5771 |
Jillianne Russi Ruppert, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 150 Tejas Pl, Nipomo, CA 93444 Phone: 805-929-3211 Fax: 805-929-6359 |