MARIO MARIN GARCIA (NPI# 1184274615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184274615 |
| Entity Type | Individual |
| Full Name | MARIO MARIN GARCIA |
| Credential | PA |
| Practice Address |
1179 N Mcdowell Blvd Petaluma CA 94954-6559 |
| Practice Telephone | 7075597500 |
| Practice Fax Number | 7075597620 |
| Mailing Telephone | 7075597500 |
| Mailing Fax Number | 7075597620 |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2019-09-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 57217 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942564810 | Mario Alberto Garcia | Counselor | 1414 S Rangerville Rd, Harlingen, TX 78552-7637 | 2012-06-26 |
| 1427034537 | Mario Garcia | General Practice | Urb. Villa Alegria, Calle Zafiro 151 Local 1b, Aguadilla, PR 00603 | 2005-12-20 |
| 1558854513 | Mario Garcia | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-06-13 |
| 1063960334 | Mario Garcia | Licensed Vocational Nurse | 14320 Palm Dr, Desert Hot Springs, CA 92240-6874 | 2016-09-15 |
| 1063834851 | Mario Garcia | Social Worker | 1266 14th St, Oakland, CA 94607-2205 | 2014-01-13 |
| 1760798755 | Mario Garcia | Case Manager/Care Coordinator | 1600 Aldersgate Rd, Little Rock, AR 72205-6614 | 2010-08-27 |
| 1548590995 | Mario Eudave Garcia | Chiropractor | 6611 Arlington Ave, Ste. E, Riverside, CA 92504-1924 | 2010-01-07 |
| 1780839175 | Mario Joaquin Garcia | Nurse Practitioner | 900 Nw 17th St, Room 560, Miami, FL 33136-1119 | 2008-11-26 |
| 1629226659 | Mario J Garcia | Social Worker | 2751 Napa Valley Corporate Dr Bldg A, Napa, CA 94558-6216 | 2008-09-03 |
| 1467628941 | Mario Garcia | Family Medicine | 7950 Nw 2nd St, Miami, FL 33126-8017 | 2008-05-05 |
| Street Address |
1179 N MCDOWELL BLVD |
| City | PETALUMA |
| State | CA |
| Zip Code | 94954-6559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366445785 | Michelle Davey | Family Medicine | 1179 N Mcdowell Blvd, Petaluma, CA 94954 | 2005-05-31 |
| 1942809256 | Rachel Pradarelli | Nurse Practitioner | 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 | 2020-10-19 |
| 1518573161 | Cicily Raye Cooper | Nurse Practitioner | 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 | 2020-09-18 |
| 1912512492 | Andrea Akabike | Dentist | 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 | 2020-09-11 |
| 1306479381 | Leslie Ann Burger | Nurse Practitioner | 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 | 2020-02-18 |
| 1932759461 | Joanna Tripet-diel | Nurse Practitioner | 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 | 2019-09-17 |
| 1588214019 | Colette Long | Registered Nurse | 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 | 2019-09-17 |
| 1073162541 | Luisa Rendon Ward | Social Worker | 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 | 2019-09-08 |
| 1801356605 | Kelly Marie Ware | Nurse Practitioner | 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 | 2019-03-20 |
| 1124586755 | Gisselle E Suazo | Nurse Practitioner | 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 | 2019-03-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346883840 | Miguel Ibarra | Counselor | 5350 Old Redwood Highway, Petaluma, CA 94954 | 2019-10-28 |
| 1073169223 | Monica Renee Najera | Behavior Technician | 1670 Corporate Circle, Ste. 100, Petaluma, CA 94954 | 2019-08-14 |
| 1326607201 | Making Magic Happen - People Helping People, Inc. | Marriage & Family Therapist | 1318 Redwood Way, Suite 260, Petaluma, CA 94954 | 2019-06-13 |
| 1477019917 | Rubi Isela Cruz Mendoza I | Behavioral Analyst | 8 Round Walk Circle, Petaluma, CA 94954 | 2019-02-20 |
| 1932679511 | Karen Christianson | Behavior Technician | 1670 Corporate Circle Suite 100, Petaluma, CA 94954 | 2018-11-27 |
| 1669956967 | Alyssa Messer | Assistant Behavior Analyst | 1670 Corporate Cir, Petaluma, CA 94954 | 2018-09-21 |
| 1235620592 | Mallory Paige Mullikin | Nurse Practitioner | 141 Lynch Creek Trail, Ste C, Petaluma, CA 94954 | 2018-05-22 |
| 1457723710 | Lisabel Dolne | Counselor | 1360 N. Mcdowell Blvd.1a, Petaluma, CA 94954 | 2015-10-27 |
| 1083080717 | Pacific Restorative Center | Clinic/Center | 1456 Professional Drive, Suite 404, Petaluma, CA 94954 | 2015-08-17 |
| 1619354198 | Accu Quest Hearing Centers | Clinic/Center | 1456 Professional Dr., Suite 404, Petaluma, CA 94954 | 2015-05-04 |
| Find all providers in zip 94954 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316309438 | Marina Ortega | Physician Assistant | 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 | 2016-03-28 |
| 1821458761 | Paula Pelavin | Physician Assistant | 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 | 2016-03-04 |
| 1083969943 | Darcie Larimore-arenas | Physician Assistant | 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 | 2012-07-17 |
| 1912123811 | Jena N Hoeft | Physician Assistant | 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 | 2007-04-18 |
| 1598981912 | Sharon L Morgan | Physician Assistant | 1301 Southpoint Blvd, Petaluma, CA 94954-6858 | 2007-04-17 |
| 1902022494 | Patricia Louise Baker | Physician Assistant | 141 Lynch Creek Way Ste C, Petaluma, CA 94954-2390 | 2007-04-17 |
| 1093803751 | Dalbir Kaur Khalsa | Physician Assistant | 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 | 2006-10-10 |
| 1699756809 | Donna L Tully | Physician Assistant | 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 | 2005-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407679 | Samantha Sidney Spinner | Physician Assistant | 1385 Shattuck Ave Apt 201, Berkeley, CA 94709-1468 | 2020-11-08 |
| 1134720972 | Alessandra Porfido | Physician Assistant | 733 Filbert St Apt 1, San Francisco, CA 94133-2767 | 2020-11-06 |
| 1992306872 | Kelsey Oberg | Physician Assistant | 1817 Oldfield Ct, El Cajon, CA 92019-4233 | 2020-11-05 |
| 1609477504 | Julia Claire Stiefel | Physician Assistant | 369 Orange St Apt A, Oakland, CA 94610-2979 | 2020-11-05 |
| 1164023347 | Wendy P Lewis | Physician Assistant | 10447 Highdale St, Bellflower, CA 90706-4122 | 2020-11-04 |
| 1245830181 | Lauren Bennett | Physician Assistant | 3360 Horizon St, Corona, CA 92881-0728 | 2020-10-29 |
| 1538769062 | Revital Ahl | Physician Assistant | 18141 Medley Dr, Encino, CA 91316-4447 | 2020-10-26 |
| 1922607423 | Emily Halla | Physician Assistant | 7473 Gresham Ct, San Jose, CA 95139-1424 | 2020-10-26 |
| 1386243889 | Ilaitia Lecia Namatasere | Physician Assistant | 614 Sycamore Ln Apt 225, Davis, CA 95616-7901 | 2020-10-26 |
| 1083213706 | Courtney Kathryn Hopp | Physician Assistant | 4060 Fourth Ave Ste 209, San Diego, CA 92103-2120 | 2020-10-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.