| Scott Cummings Baron, PA | |
|
22855 Lake Forest Dr Ste A, Lake Forest, CA 92630-1656 | |
| (949) 452-7544 | |
| Not Available |
| Full Name | Scott Cummings Baron |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 22855 Lake Forest Dr Ste A, Lake Forest, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104861384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA12400 (California) | Primary |
| Entity Name | Cep America - Auc PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568861524 PECOS PAC ID: 9537481692 Enrollment ID: O20141201002085 |
| Mailing Address | Practice Location Address |
|---|---|
| Scott Cummings Baron, PA 2100 Powell St, Ste 920, Emeryville, CA 94608-1826 Ph: (510) 350-2777 | Scott Cummings Baron, PA 22855 Lake Forest Dr Ste A, Lake Forest, CA 92630-1656 Ph: (949) 452-7544 |
Alex Chadwick Van Der Ham, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 26730 Towne Centre Dr Ste 204, Lake Forest, CA 92610 Phone: 949-380-1234 |
Oana-diana Popescu, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 24401 Muirlands Blvd Ste A, Lake Forest, CA 92630 Phone: 949-770-1950 |
Emily Kincaid, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 24552 Raymond Way # 1330, Lake Forest, CA 92630 Phone: 949-421-7802 |
Stephanie Quilianna Fizzard, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 25902 Tipperary Ln, Lake Forest, CA 92630 Phone: 949-916-2924 |
Hye Won Park, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 30 Sorrel, Lake Forest, CA 92630 Phone: 714-788-1290 |
Katrina Wingco Spadafore, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 23653 El Toro Rd Ste B, Lake Forest, CA 92630 Phone: 949-317-0312 |
Selenia Sarina Corado, MPA, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 22481 Aspan St Ste A, Lake Forest, CA 92630 Phone: 949-240-2272 |