Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mariella Katherine Castro Begazo Hertwig, PA-C

Individual provider Physician Assistant · NPI 1356712053

Mariella Katherine Castro Begazo Hertwig, PA-C is a Physician Assistant in Buffalo, New York. Practices as a sole proprietor and works from 2 locations. Licensed in California, Illinois, New York and Texas.

Licensed in
CA, IL, NY, TX
In the registry since
2015
Specialties on file
4
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

199 Scott St Fl 8
Buffalo, NY 14204-2208
Phone: (917) 261-4414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1110 N Virgil Ave, Los Angeles, CA 90029-2016 — (917) 261-4414

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 019227 (NY)
Physician Assistant Taxonomy 363A00000X · Licence PA13204 (TX)
Physician Assistant Taxonomy 363A00000X · Licence 085007456 (IL)
Physician Assistant Taxonomy 363A00000X · Licence PA58339 (CA)

Record details

NPI number1356712053
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 7, 2015
Last updated in NPPESApril 2, 2025
Certification dateApril 2, 2025

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