| Nisma Rayan, | |
| 
					661 W 1st St Ste E, Tustin, CA 92780-2939  | |
| (714) 838-2853 | |
| Not Available | 
| Full Name | Nisma Rayan | 
|---|---|
| Gender | Female | 
| Speciality | Speech-language Pathologist | 
| Location | 661 W 1st St Ste E, 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 | 
|---|---|---|---|
| 1174056774 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 30230 (California) | Primary | 
| Provider Name | Permanente Medical Group Inc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Nisma Rayan, 710 Lawrence Expy, Santa Clara, CA 95051-5173 Ph: () -  | Nisma Rayan, 661 W 1st St Ste E, Tustin, CA 92780-2939 Ph: (714) 838-2853  | 
Mrs. Joanne D. Ortega, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 661 W 1st St Ste E, Tustin, CA 92780 Phone: 714-838-2853 Fax: 714-838-4533  | |
Robin Carter, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 661 W 1st St Ste E, Tustin, CA 92780 Phone: 714-838-2853 Fax: 714-838-4533  | |
Kevyne Marie Dantes,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3002 Dow Ave Ste 114, Tustin, CA 92780 Phone: 714-731-4668  | |
Lacey Lynn Vasquez, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 661 W 1st St, Suite E., Tustin, CA 92780 Phone: 714-838-2853 Fax: 714-838-4533  | |
Catherine Bogues, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 661 West 1st Street, Suite E, Tustin, CA 92780 Phone: 714-838-2853  | |
Mrs. Evelyn Divinagracia, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3002 Dow Ave, 114, Tustin, CA 92780 Phone: 714-731-4668  | |
Grace Lam, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 14851 Yorba St, Tustin, CA 92780 Phone: 714-573-5382  |