| Mr Alex E Detrana, PA | |
|
1600 W Avenue J, Lancaster, CA 93534-2814 | |
| (661) 949-5000 | |
| Not Available |
| Full Name | Mr Alex E Detrana |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 1600 W Avenue J, Lancaster, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568549970 | NPI | - | NPPES |
| PA18447 | Other | CA | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA18447 (California) | Primary |
| Entity Name | County of Ventura |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629167457 PECOS PAC ID: 7911810171 Enrollment ID: O20031112000587 |
| Entity Name | Cep America - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548667843 PECOS PAC ID: 6103739131 Enrollment ID: O20040121000458 |
| Entity Name | South Coast Emergency Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861432627 PECOS PAC ID: 1355254269 Enrollment ID: O20040218000998 |
| Entity Name | Los Robles Emergency Physicians Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417983552 PECOS PAC ID: 4880582618 Enrollment ID: O20040916000469 |
| Entity Name | Ventura Emergency Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518298686 PECOS PAC ID: 7618012063 Enrollment ID: O20100310000057 |
| Entity Name | Allied Emergency Physicians, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043531346 PECOS PAC ID: 9931391604 Enrollment ID: O20101013000562 |
| Entity Name | Seaside Emergency Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639577802 PECOS PAC ID: 8527385061 Enrollment ID: O20150323001317 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Alex E Detrana, PA Po Box 12380, Westminster, CA 92685-2380 Ph: (800) 592-6829 | Mr Alex E Detrana, PA 1600 W Avenue J, Lancaster, CA 93534-2814 Ph: (661) 949-5000 |
Mr. Christian Chavat Hauser, P.A-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1600 W Avenue J, Lancaster, CA 93534 Phone: 661-949-5000 |
Dalia Christine Zahroon, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1600 W Avenue J, Lancaster, CA 93534 Phone: 661-726-6225 |
Claudia Alcalde, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 907 W Lancaster Blvd, Lancaster, CA 93534 Phone: 818-654-3887 |
Ms. Carol Luisa Grant-dougherty, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 43839 15th St W, Lancaster, CA 93534 Phone: 661-945-5984 Fax: 661-951-3357 |
Selene Pacheco, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 907 W Lancaster Blvd, Lancaster, CA 93534 Phone: 818-654-3887 Fax: 818-945-5069 |
Pauline Matar Getskow, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1600 W Avenue J, Lancaster, CA 93534 Phone: 661-949-5000 |
Ms. Mary Rita Harper I, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 44725 10th St W, Lancaster, CA 93534 Phone: 661-940-7600 |