Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Greta Marla Vines-Douglas, PA-C

Individual provider Physician Assistant · NPI 1740312826

Greta Marla Vines-Douglas, PA-C is a Physician Assistant in Montebello, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

815 Washington Blvd
Montebello, CA 90640-6123
Phone: (323) 728-3955
Fax: (323) 728-6905
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA13987 (CA)

Record details

NPI number1740312826
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 12, 2007
Last updated in NPPESJanuary 11, 2018

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