| San Marino Psychiatric Associates, Inc. | |
|
2400 Mission St San Marino CA 91108 | |
| (626) 403-8999 | |
| (626) 403-8989 |
| Full Name | San Marino Psychiatric Associates, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2400 Mission St, San Marino, California |
| Authorized Official Name and Position | Lupe A Quintanilla (OFFICE MANAGER) |
| Authorized Official Contact | 6264038999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Marino Psychiatric Associates, Inc. 2400 Mission Street San Marino CA 91108-1632 Ph: (626) 403-8999 | San Marino Psychiatric Associates, Inc. 2400 Mission St San Marino CA 91108 Ph: (626) 403-8999 |
| NPI Number | 1063540938 |
|---|---|
| Provider Enumeration Date | 03/01/2007 |
| Last Update Date | 08/22/2018 |
| Medicare PECOS PAC ID | 6709864895 |
|---|---|
| Medicare Enrollment ID | O20040713001664 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063540938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Aura Marie Pawley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639207400 PECOS PAC ID: 3072414143 Enrollment ID: I20040120000962 |
| Provider Name | Sheela L Gade |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114143757 PECOS PAC ID: 9133279920 Enrollment ID: I20090617000294 |
| Provider Name | Warren R Christianson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932359445 PECOS PAC ID: 5597936963 Enrollment ID: I20110914000671 |
| Provider Name | Imani J Walker |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1053514588 PECOS PAC ID: 7113198912 Enrollment ID: I20110928000468 |
| Provider Name | Carol A Mccormick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821004458 PECOS PAC ID: 2860496866 Enrollment ID: I20130716000156 |
| Provider Name | Nancy Rehfeld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093198848 PECOS PAC ID: 8729311923 Enrollment ID: I20190603001433 |
Barbara Huynh, D.o., Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1455 San Marino Ave Ste A, San Marino, CA 91108 Phone: 626-577-9010 Fax: 626-577-9129 | |
Barbara L. Janetzke, Phd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2400 Mission St, San Marino, CA 91108 Phone: 626-255-7512 | |
Blockdare Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2260 Brentford Rd, San Marino, CA 91108 Phone: 626-429-3651 | |
Claudia Rosenberg, Phd Licensed Clinical Social Worker Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1295 Adair St, San Marino, CA 91108 Phone: 267-209-3005 | |
Pch Pasadena, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2400 Mission St, San Marino, CA 91108 Phone: 310-566-7625 |