| Mr David Mark Medina, PA-C | |
|
155 Solano St, Corning, CA 96021-3511 | |
| (530) 824-4663 | |
| (530) 824-5204 |
| Full Name | Mr David Mark Medina |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 155 Solano St, Corning, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245342732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA17932 (California) | Primary |
| Entity Name | Open Door Community Health Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497840656 PECOS PAC ID: 9436067485 Enrollment ID: O20040414000890 |
| Entity Name | Napa Valley Emergency Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467463539 PECOS PAC ID: 5698664977 Enrollment ID: O20040419000856 |
| Entity Name | Adventist Health Clearlake Hospital Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124018031 PECOS PAC ID: 3072421197 Enrollment ID: O20041112000573 |
| Entity Name | Santa Ana Physicians Group PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831592187 PECOS PAC ID: 9234455015 Enrollment ID: O20150313001997 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr David Mark Medina, PA-C 155 Solano St, Corning, CA 96021-3511 Ph: (530) 824-4663 | Mr David Mark Medina, PA-C 155 Solano St, Corning, CA 96021-3511 Ph: (530) 824-4663 |
Daniel Joseph Mcclough, P.A Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 706 Peach St, Corning, CA 96021 Phone: 530-690-2827 Fax: 784-168-1989 |
Mrs. Darlene M Androus Junk, PA/C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2126 Solano Street, Corning, CA 96021 Phone: 530-824-7845 Fax: 530-824-4084 |
Tobin Scott Duisenberg, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 155 Solano St, Corning, CA 96021 Phone: 530-824-4663 Fax: 530-824-2959 |
Mr. James Richard Pearson Jr., PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 155 Solano St, Corning Medical Associates Inc, Corning, CA 96021 Phone: 530-824-4663 Fax: 530-824-5204 |
Nancy L Kisner, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 155 Solano St, Corning, CA 96021 Phone: 907-398-1370 |
Bryan Daniel Stowe, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 320 Solano St Ste A, Corning, CA 96021 Phone: 530-824-3283 |
Juan M Sarmiento, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2126 Solano St, Corning, CA 96021 Phone: 530-529-8267 |