| Nylvia Martinez, | |
|
661 W 1st St Ste G, Tustin, CA 92780-2939 | |
| (714) 665-9890 | |
| (714) 665-9891 |
| Full Name | Nylvia Martinez |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 661 W 1st St Ste G, Tustin, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376134155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 59317 (California) | Primary |
| Entity Name | Families Together of Orange County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194122457 PECOS PAC ID: 7517268816 Enrollment ID: O20151210000638 |
| Entity Name | Excell Integrated Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659909521 PECOS PAC ID: 1557782349 Enrollment ID: O20200603001204 |
| Mailing Address | Practice Location Address |
|---|---|
| Nylvia Martinez, 661 W 1st St Ste G, Tustin, CA 92780-2939 Ph: (714) 665-9890 | Nylvia Martinez, 661 W 1st St Ste G, Tustin, CA 92780-2939 Ph: (714) 665-9890 |
Crystal Martin, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 661 W 1st St Ste G, Tustin, CA 92780 Phone: 714-665-9890 Fax: 714-665-9891 |
Mr. Carlos Guerrero, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 661 W 1st St Ste G, Tustin, CA 92780 Phone: 714-665-9890 Fax: 714-665-9891 |
Henry C. Luu, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 17612 17th St Ste 101, Tustin, CA 92780 Phone: 714-243-5450 |
Mindy Thanh Phan, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 661 W 1st St Ste G, Tustin, CA 92780 Phone: 714-665-9890 Fax: 714-665-9891 |
Amanda Allen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 18302 Irvine Blvd Ste 200, Tustin, CA 92780 Phone: 949-825-7650 |
Laurie Jeanne Mazzei, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1 Hope Dr, Tustin, CA 92782 Phone: 714-247-0300 Fax: 714-259-1598 |
Rebecca Marquez, Physician Assistant Medicare: Medicare Enrolled Practice Location: 661 W 1st St Ste G, Tustin, CA 92780 Phone: 714-665-9890 Fax: 714-665-9891 |