| Melissa Real, | |
|
845 Wright Ave, Pasadena, CA 91104-4466 | |
| (626) 710-7616 | |
| Not Available |
| Full Name | Melissa Real |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 845 Wright Ave, Pasadena, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326675414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Entity Name | East Valley Community Health Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831243625 PECOS PAC ID: 9234041765 Enrollment ID: O20050425000560 |
| Entity Name | Edward A. Mena, M.D., Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811032550 PECOS PAC ID: 4880797521 Enrollment ID: O20070316000345 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Real, Po Box 94154, Pasadena, CA 91109-4154 Ph: (626) 710-7616 | Melissa Real, 845 Wright Ave, Pasadena, CA 91104-4466 Ph: (626) 710-7616 |
Maria Thi Trinh, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 473 N Fair Oaks Ave, Pasadena, CA 91103 Phone: 626-792-2378 |
Katrena Hovsepian, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1755 Oakwood St, Pasadena, CA 91104 Phone: 818-726-8876 |
Stephanie Schwartz, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 10 Congress St Ste 103, Pasadena, CA 91105 Phone: 626-796-6164 Fax: 626-796-0883 |
Danica Nevart Tashjian, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 425 S Fair Oaks Ave Ste A, Pasadena, CA 91105 Phone: 626-449-1814 |
Kimia Nowbari, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 595 E Colorado Blvd Ste 602, Pasadena, CA 91101 Phone: 626-765-6704 |
Alexandra Brooke Spooner, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 625 S Fair Oaks Ave Ste 270, Pasadena, CA 91105 Phone: 424-314-0177 Fax: 424-314-0180 |
Mr. Tony Wai Tiu, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 680 E Colorado Blvd Ste 180, Pasadena, CA 91101 Phone: 626-244-8200 |