Carissa Leigh Villavicencio, PA-C
Carissa Leigh Villavicencio, PA-C is a Physician Assistant in Palmdale, California. Qualified in 2018, 8 years ago. Practices with Exer Medical Corporation, a 333-clinician group and accepts Medicare assignment.
- Years since qualifying
- 8
- In the registry since
- 2018
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
655 W Avenue QPalmdale, CA 93551-3894
Phone: (661) 259-5200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1205318938 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | August 29, 2018 |
| Last updated in NPPES | January 15, 2020 |
| Certification date | January 15, 2020 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | Exer Medical Corporation — 333 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 8 on file with Medicare |
Other providers in Palmdale
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Anna Madorskaya, PA-C
38636 Medical Center Dr Ste C, Palmdale, CA 93551-4689 · (661) 273-0100
-
Mr. Pablo Mateo Maese, PA-C
38600 Medical Center Dr, Palmdale, CA 93551-4483 · (661) 382-6000
-
Mr. Ramon Medina, PA
38440 5th St W, Palmdale, CA 93551-4498 · (661) 214-7718
-
Cassandra Pallotto, PA-C
647 W Avenue Q, Palmdale, CA 93551-3893 · (970) 260-9845