Greta Marla Vines-douglas, PA-C - Physician Assistant in Montebello, CA

Greta Marla Vines-douglas, PA-C is a Physician Assistant based in Montebello, California. Greta Marla Vines-douglas is licensed to practice in California (license number PA13987) and her current practice location is 815 Washington Blvd, Montebello, California. She can be reached at her office (for appointments etc.) via phone at (323) 728-3955.

NPI number for Greta Marla Vines-douglas is 1740312826 and her current mailing address is 5823 York Blvd # 3, Los Angeles, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1740312826.

Contact Information

Greta Marla Vines-douglas, PA-C
815 Washington Blvd,
Montebello, CA 90640-6123
(323) 728-3955
(323) 728-6905

Map and Direction




Provider's Profile

Full NameGreta Marla Vines-douglas
GenderFemale
SpecialityPhysician Assistant
Location815 Washington Blvd, Montebello, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1740312826
  • Provider Enumeration Date: 03/12/2007
  • Last Update Date: 01/11/2018

Medical Identifiers

Medical identifiers for Greta Marla Vines-douglas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740312826NPI-NPPES
P00381919OtherGAMEDICARE RAILROAD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA13987 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Greta Marla Vines-douglas is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Greta Marla Vines-douglas, PA-C
5823 York Blvd # 3,
Los Angeles, CA 90042-2634

Ph: (323) 255-5643
Greta Marla Vines-douglas, PA-C
815 Washington Blvd,
Montebello, CA 90640-6123

Ph: (323) 728-3955

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.