Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Maren Hackbusch, PA-C, MPH

Individual provider Physician Assistant · NPI 1932580362

Maren Hackbusch, PA-C, MPH is a Physician Assistant in Stockton, California. Qualified in 2015, 11 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
11
Licensed in
CA
In the registry since
2015
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
MPH — Master of Public Health
A graduate degree in population health.

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Practice location Address checks out

4555 Precissi Ln
Stockton, CA 95207-6239
Phone: (209) 477-4103
Fax: (209) 477-1065
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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 52544 (CA)

Record details

NPI number1932580362
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , MPH
Sole proprietorNo
NPI enumeratedJune 11, 2015
Last updated in NPPESJanuary 3, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Stockton