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

Miguel A Mariscal, PA

Individual provider Physician Assistant · NPI 1760508923

Miguel A Mariscal, PA is a Physician Assistant in San Diego, California. Qualified in 1985, 41 years ago. Practices with Centro De Salud De La Comunidad De San Ysidro, Inc, a 291-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
41
Licensed in
CA
In the registry since
2007
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

4647 Zion Ave
San Diego, CA 92120-2507
Phone: (619) 528-5000
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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 PA11827 (CA)

Record details

NPI number1760508923
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 21, 2007
Last updated in NPPESDecember 1, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Group practice Centro De Salud De La Comunidad De San Ysidro,Inc. — 291 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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