| Mr John C Michalak, PA-C | |
|
777 E Foothill Blvd, San Luis Obispo, CA 93405-1617 | |
| (805) 762-4348 | |
| (805) 541-1167 |
| Full Name | Mr John C Michalak |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 24 Years |
| Location | 777 E Foothill Blvd, San Luis Obispo, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922057934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA16603 (California) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA16603 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cottage Clinical Network Llc | 1850712530 | 57 |
| Entity Name | Cep America - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 |
| 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 | 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 | Central Coast Urgent Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427372226 PECOS PAC ID: 2264561125 Enrollment ID: O20100614000439 |
| 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 | Emergency Physicians Urgent Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689963845 PECOS PAC ID: 8527234418 Enrollment ID: O20111227000049 |
| Entity Name | Carbon Health Medical Group of California PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417294232 PECOS PAC ID: 9032340047 Enrollment ID: O20140314001276 |
| Entity Name | Grand Avenue Emergency Physicians Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962913632 PECOS PAC ID: 7315206653 Enrollment ID: O20180112002313 |
| Entity Name | Nes Western Group a Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487125019 PECOS PAC ID: 4587902952 Enrollment ID: O20190208002821 |
| Entity Name | Cottage Clinical Network LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588209357 PECOS PAC ID: 1850712530 Enrollment ID: O20200604001981 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr John C Michalak, PA-C Po Box 689, Santa Barbara, CA 93102-0689 Ph: (805) 762-4348 | Mr John C Michalak, PA-C 777 E Foothill Blvd, San Luis Obispo, CA 93405-1617 Ph: (805) 762-4348 |
Taylor Suzanne Wahl, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1235 Osos St # 100, San Luis Obispo, CA 93401 Phone: 805-549-0888 |
Guillemette Calderwood, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3241 S Higuera St, San Luis Obispo, CA 93401 Phone: 805-544-4460 |
Mrs. Taryn Alexandra Pearl, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 892 Aerovista Pl, Suite 130, San Luis Obispo, CA 93401 Phone: 805-395-3277 Fax: 805-541-1203 |
Karina I Cervantes, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1235 Osos St Ste 100, San Luis Obispo, CA 93401 Phone: 805-549-0888 |
Gary Mitchell Westbrock, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 715 Tank Farm Rd Ste A, San Luis Obispo, CA 93401 Phone: 805-541-4018 Fax: 805-543-6271 |
Jacqualine J. Dancy, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 283 Madonna Rd, Suite B, San Luis Obispo, CA 93405 Phone: 805-549-8880 Fax: 805-549-8743 |
Natalie Robertson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 892 Aerovista Pl Ste 120, San Luis Obispo, CA 93401 Phone: 805-544-5567 |