| Tyson John Mcmullen, PA-C | |
|
1360 Walden Rd, Walnut Creek, CA 94597-3158 | |
| (925) 324-1116 | |
| Not Available |
| Full Name | Tyson John Mcmullen |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1360 Walden Rd, Walnut Creek, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154006757 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA63707 (California) | Primary |
| Entity Name | California Post-acute Medical Group 1 Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265971949 PECOS PAC ID: 5991072738 Enrollment ID: O20170525001727 |
| Entity Name | Ca Pacs 2 Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801372669 PECOS PAC ID: 4981954476 Enrollment ID: O20180904002122 |
| Entity Name | CS Pacs 3 Ca Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922775360 PECOS PAC ID: 1153843180 Enrollment ID: O20250319003700 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyson John Mcmullen, PA-C 1360 Walden Rd, Walnut Creek, CA 94597-3158 Ph: (925) 324-1116 | Tyson John Mcmullen, PA-C 1360 Walden Rd, Walnut Creek, CA 94597-3158 Ph: (925) 324-1116 |
Julia Alexa Ondarza, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2637 Shadelands Dr, Walnut Creek, CA 94598 Phone: 925-430-5335 Fax: 925-430-5446 |
Ali Hussain Mithani, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 130 La Casa Via Ste 210, Walnut Creek, CA 94598 Phone: 925-309-5155 |
Lora Mina Rancourt, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2625 Shadelands Dr, Walnut Creek, CA 94598 Phone: 925-939-8585 |
Haley Nichole Folta, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1601 Ygnacio Valley Rd, Walnut Creek, CA 94598 Phone: 813-302-8000 |
Jennifer Price, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1450 Treat Blvd Ste 250b, Walnut Creek, CA 94597 Phone: 925-296-9740 |
Mr. James Quintella, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 301 Lennon Ln Ste 100, Walnut Creek, CA 94598 Phone: 925-944-0110 Fax: 925-944-0960 |
Jodi Reynolds, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 925-295-4130 |