| Nicholas Quy, PA-C | |
|
10225 Austin Dr Ste 104, Spring Valley, CA 91978-1521 | |
| (213) 213-5580 | |
| Not Available |
| Full Name | Nicholas Quy |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 10225 Austin Dr Ste 104, Spring Valley, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386290526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA56991 (California) | Primary |
| Entity Name | Sharwin Tafazoli Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447806278 PECOS PAC ID: 8729416953 Enrollment ID: O20200320002154 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas Quy, PA-C 10225 Austin Dr Ste 104, Spring Valley, CA 91978-1521 Ph: Not Available | Nicholas Quy, PA-C 10225 Austin Dr Ste 104, Spring Valley, CA 91978-1521 Ph: (213) 213-5580 |
Zachary Hannigan, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 8921 Arlingdale Way, Spring Valley, CA 91977 Phone: 619-715-5607 |
Jean Cassandra Blas Aguilar, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 10024 Eubank Ln, Spring Valley, CA 91977 Phone: 951-465-0416 |
Carl Eugene Petty, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2962 Elm Tree Ct, Spring Valley, CA 91978 Phone: 619-200-9105 |
Kerwin Rommel Murillo Perez, Physician Assistant Medicare: Medicare Enrolled Practice Location: 8788 Jamacha Rd, Spring Valley, CA 91977 Phone: 619-515-2555 |
Mario Alberto Lopez, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8788 Jamacha Rd, Spring Valley, CA 91977 Phone: 619-515-2555 |