Mr. Gary Dewayne Wiley Jr., PA-C
Mr. Gary Dewayne Wiley Jr., PA-C is a Physician Assistant in Marina del Rey, California. Qualified in 2024, 2 years ago. Practices with Athena Medical Group, a 43-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 2
- Licensed in
- CA
- In the registry since
- 2024
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
4011 Via Marina Apt 107Marina del Rey, CA 90292-8201
Phone: (360) 441-4248
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA65066 (CA) |
|---|
Record details
| NPI number | 1427885656 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | September 19, 2024 |
| Last updated in NPPES | September 27, 2024 |
| Certification date | September 27, 2024 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Athena Medical Group — 43 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Marina del Rey
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Ngoc Nguyen, PA
4650 Lincoln Blvd, Marina del Rey, CA 90292-6306 · (310) 823-8991
-
Kyrllos Atef Rezekalla, PA-C
3221 Carter Ave, Marina del Rey, CA 90292-4944 · (310) 430-9795
-
MS. Layla Nina Sotoodeh, PA-C
13160 Mindanao Way Ste 300, Marina del Rey, CA 90292-6358 · (310) 574-0400
-
Brianna Rose Yuriko Sugimoto
13160 Mindanao Way Ste 300, Marina del Rey, CA 90292-6393 · (310) 437-7925
-
Mrs. Samantha Wilhelm, MS, PA-C
4560 Admiralty Way Ste 105, Marina del Rey, CA 90292-5424 · (310) 694-5255