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

Mary Nicole Lillian Lipscomb, PA-C

Individual provider Physician Assistant · NPI 1265056170

Mary Nicole Lillian Lipscomb, PA-C is a Physician Assistant in Santa Maria, California. Qualified in 2020, 6 years ago. Practices with Pacific Central Coast Health Centers, a 250-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2020
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

2271 S Depot St
Santa Maria, CA 93455-1216
Phone: (805) 739-3805
Fax: (805) 739-3806
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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 60009 (CA)

Record details

NPI number1265056170
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 5, 2020
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Pacific Central Coast Health Centers — 250 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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