| William Fazzalaro, PA-C | |
|
447 Old Newport Blvd, Suite 200, Newport Beach, CA 92663-4257 | |
| (949) 650-3350 | |
| (949) 650-1274 |
| Full Name | William Fazzalaro |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 25 Years |
| Location | 447 Old Newport Blvd, Newport Beach, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912065228 | NPI | - | NPPES |
| 1750339479 | Other | CA | GROUP NPI |
| PA16754 | Other | CA | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA16754 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hoag Memorial Hospital Presbyterian | Newport beach, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hoag Clinic | 3274872064 | 329 |
| Mailing Address | Practice Location Address |
|---|---|
| William Fazzalaro, PA-C 447 Old Newport Blvd, Suite 200, Newport Beach, CA 92663-4257 Ph: (949) 650-3350 | William Fazzalaro, PA-C 447 Old Newport Blvd, Suite 200, Newport Beach, CA 92663-4257 Ph: (949) 650-3350 |
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 | |
Sally E. Decastro-tilsen, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 400 Newport Center Dr Ste 701, Newport Beach, CA 92660 Phone: 949-759-8001 Fax: 949-760-3671 | |
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 |