Brandon Pourazima (NPI# 1225501224, PAC ID# 8426386020) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1225501224 |
| PAC ID by PECOS | 8426386020 |
| Professional Enrollment ID | I20190820004068 |
| Full Name | Brandon Pourazima |
| Organization Legal Name | MARQUE MEDICAL CLINIC, INC. |
| Address |
8970 Knott Ave Buena Park CA 90620-4137 |
| Phone Number | 9497609222 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9537345665 |
| Number of Group Practice Members | 41 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 26831 Aliso Creek Rd, Suite 200, Aliso Viejo, CA 92656-5341 | 9497609222 | MARQUE MEDICAL CLINIC, INC. |
| 8970 Knott Ave, Buena Park, CA 90620-4137 | 9497609222 | MARQUE MEDICAL CLINIC, INC. |
| 25482 Marguerite Pkwy, Suite 101, Mission Viejo, CA 92692-2911 | 9497609222 | MARQUE MEDICAL CLINIC, INC. |
| 2075 San Joaquin Hills Rd, Newport Beach, CA 92660-6505 | 9497609222 | MARQUE MEDICAL CLINIC, INC. |
| 22461 Antonio Pkwy, Suite A135, Rancho Santa Margarita, CA 92688-2806 | 9497609222 | MARQUE MEDICAL CLINIC, INC. |
| Organization Legal Name | MARQUE MEDICAL CLINIC, INC. |
| Physicians | 47 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelsey Christine Van Bokkem | Internal Medicine | Marque Medical Clinic, Inc. | 2315 Otay Lakes Rd, Suite 306, Chula Vista, CA 91915-1162 |
| Jacqueline R Weir | Physician Assistant | Marque Medical Clinic, Inc. | 4490 Fanuel St, Suite 100, San Diego, CA 92109-8737 |
| Les A Mershon | Physician Assistant | Marque Medical Clinic, Inc. | 6136 Lake Murray Blvd, La Mesa, CA 91942-2502 |
| Jin Suk C Kim | General Practice | Marque Medical Clinic, Inc. | 2075 San Joaquin Hills Rd, Newport Beach, CA 92660-6505 |
| Erin E Wood | Physician Assistant | Marque Medical Clinic, Inc. | 26831 Aliso Creek Rd, Suite 200, Aliso Viejo, CA 92656-5341 |
| Robert C Walker | Family Medicine | Marque Medical Clinic, Inc. | 2075 San Joaquin Hills Rd, Newport Beach, CA 92660-6505 |
| Robert M Masoner | Internal Medicine | Marque Medical Clinic, Inc. | 2075 San Joaquin Hills Rd, Newport Beach, CA 92660-6505 |
| Brian Jeffry Jackson | Nurse Practitioner | Marque Medical Clinic, Inc. | 2075 San Joaquin Hills Rd, Newport Beach, CA 92660-6505 |
| Nathan A Kiskila | Family Medicine | Marque Medical Clinic, Inc. | 2075 San Joaquin Hills Rd, Newport Beach, CA 92660-6505 |
| Philip Regis Fagan | General Practice | Marque Medical Clinic, Inc. | 2075 San Joaquin Hills Rd, Newport Beach, CA 92660-6505 |
| Street Address |
8970 KNOTT AVE |
| City | BUENA PARK |
| State | CA |
| Zip | 90620-4137 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory J Christie | Physician Assistant | Marque Medical Clinic, Inc. | 8970 Knott Ave, Buena Park, CA 90620-4137 |
| David G Porzio | Internal Medicine | Marque Medical Clinic, Inc. | 8970 Knott Ave, Buena Park, CA 90620-4137 |
| Luz Daniela Acevedo | Physician Assistant | Marque Medical Clinic, Inc. | 8970 Knott Ave, Buena Park, CA 90620-4137 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy B Lim | Physical Therapy | Dynamx Physical Therapy Inc A Physical Therapy Corporation | 7941 Beach Blvd, Suite J, Buena Park, CA 90620-1900 |
| Brent Mcmahon | Physical Therapy | Dynamx Physical Therapy Inc A Physical Therapy Corporation | 7941 Beach Blvd, Suite J, Buena Park, CA 90620-1900 |
| Salvatore J Plano | Chiropractic | 7921 Westren Ave, Suite F, Buena Park, CA 90620-2654 | |
| David Wong | Optometry | 8450 La Palma Ave, Buena Park, CA 90620-3210 | |
| Bahram Goshtasbi | Chiropractic | 8821 Valley View St, Buena Park, CA 90620-3528 | |
| Young-sik Cho | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of Orange County Inc | 8850 Valley View St, Buena Park, CA 90620-3562 |
| Mei-ling Lin | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of Orange County Inc | 8850 Valley View St, Buena Park, CA 90620-3562 |
| Jennifer C Santero | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of Orange County Inc | 8850 Valley View St, Buena Park, CA 90620-3562 |
| Hyejin Jeong | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of Orange County Inc | 8850 Valley View St, Buena Park, CA 90620-3562 |
| John Samuel Ikeda | Optometry | 8751 Valley View St, Suite A, Buena Park, CA 90620-3566 | |
| Find all physicians in zip 90620 | |||
| City | BUENA PARK |
| Zip Code | 90620 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BUENA PARK + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Brandon Pourazima.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.