| Melissa Thepvongsa, | |
|
765 Medical Center Ct, Chula Vista, CA 91911-6600 | |
| (619) 616-2100 | |
| Not Available |
| Full Name | Melissa Thepvongsa |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 765 Medical Center Ct, Chula Vista, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750964425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 59540 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Grossmont Hospital | La mesa, CA | Hospital |
| Sharp Chula Vista Medical Center | Chula vista, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Family Health Centers Of San Diego Inc | 3476446378 | 299 |
| Entity Name | Family Health Centers of San Diego Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447281936 PECOS PAC ID: 3476446378 Enrollment ID: O20040204000923 |
| Entity Name | Cardiovascular Institute of San Diego Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558518753 PECOS PAC ID: 0749337160 Enrollment ID: O20090421000751 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Thepvongsa, 765 Medical Center Ct, Chula Vista, CA 91911-6600 Ph: (619) 616-2100 | Melissa Thepvongsa, 765 Medical Center Ct, Chula Vista, CA 91911-6600 Ph: (619) 616-2100 |
Krystal Lin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 263 Church Ave, Chula Vista, CA 91910 Phone: 619-422-3124 |
Yvonne Lizette Montano, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 450 4th Ave Ste 215, Chula Vista, CA 91910 Phone: 619-425-3840 |
Danielle Marie Salameh, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 435 H St, Chula Vista, CA 91910 Phone: 858-472-9886 |
Riley Nicole Toon, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 769 Medical Center Ct, Chula Vista, CA 91911 Phone: 619-482-8430 |
Vincent Lam, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2295 Otay Lakes Rd Ste 110, Chula Vista, CA 91915 Phone: 800-926-8273 Fax: 888-539-8781 |
Mr. Carlos Fernando Vallbona, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 256 Landis Ave, 3rd Floor, Chula Vista, CA 91910 Phone: 619-426-9600 Fax: 619-426-4112 |
Raquel Knutson, MMS, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 525 3rd Ave, Chula Vista, CA 91910 Phone: 619-585-4050 Fax: 619-585-4054 |