| Sally E Decastro-tilsen, PA | |
|
400 Newport Center Dr Ste 701, Newport Beach, CA 92660-7608 | |
| (949) 759-8001 | |
| (949) 760-3671 |
| Full Name | Sally E Decastro-tilsen |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 47 Years |
| Location | 400 Newport Center Dr Ste 701, Newport Beach, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023282019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA 10296 (California) | Primary |
| 363AM0700X | Physician Assistant - Medical | PA 10296 (California) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| C Philip O Carroll Md Inc | 9234326778 | 2 |
| Mailing Address | Practice Location Address |
|---|---|
| Sally E Decastro-tilsen, PA 1101 White Sails Way, Corona Del Mar, CA 92625-1524 Ph: (949) 378-8641 | Sally E Decastro-tilsen, PA 400 Newport Center Dr Ste 701, Newport Beach, CA 92660-7608 Ph: (949) 759-8001 |
Chelsea Galdo, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4631 Teller Ave Ste 100, Newport Beach, CA 92660 Phone: 949-887-7187 | |
Elizabeth Koprucki, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2075 San Joaquin Hills Rd, Newport Beach, CA 92660 Phone: 651-373-6604 | |
Chelsee Jeanine Brubaker, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2075 San Joaquin Hills Rd, Newport Beach, CA 92660 Phone: 776-936-2668 | |
Mrs. Lindsay Hall Baumhefner, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 22 Corporate Plaza Dr, Newport Beach, CA 92660 Phone: 949-722-7038 Fax: 949-630-4900 | |
Aubrey Bahou, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 351 Hospital Rd Ste 507, Newport Beach, CA 92663 Phone: 949-642-1361 | |
Mrs. Camille Lauren Bray, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 22 Corporate Plaza Dr, Newport Beach, CA 92660 Phone: 949-722-7038 Fax: 949-432-3354 |