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

Reyna Lucero Valle Mariscal

Individual provider Physician Assistant · NPI 1689221483

Reyna Lucero Valle Mariscal is a Physician Assistant in Ceres, California. Qualified in 2019, 7 years ago. Practices with La Laser Center PC a Professional Medical Corporation, a 80-clinician group and accepts Medicare assignment.

Years since qualifying
7
In the registry since
2019
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Practice location Address checks out

1505 Ridlon Ln
Ceres, CA 95307-9360
Phone: (209) 496-8869
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1689221483
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 26, 2019
Last updated in NPPESAugust 26, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice La Laser Center Pc A Professional Medical Corporation — 80 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Ceres