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

Marque R Dietzler, PA

Individual provider Physician Assistant · NPI 1073968459

Marque R Dietzler, PA is a Physician Assistant in Loma Linda, California. Qualified in 2016, 10 years ago. Practices with Larry C Hughes MD Inc a Medical Corporation, a 6-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
10
In the registry since
2016
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

11234 Anderson St
Loma Linda, CA 92354-2804
Phone: (909) 558-4444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4020 W Florida Ave, Hemet, CA 92545-5279 — (951) 925-9565

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1073968459
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedMay 4, 2016
Last updated in NPPESOctober 13, 2021
Certification dateOctober 13, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Larry C Hughes Md Inc A Medical Corporation — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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