Marisa Wayt is a Physician Assistant in Costa Mesa, California. Marisa Wayt practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Marisa Wayt is 1588735088. The last update date is 2023-03-07.
Marisa Wayt's current location address is 1550 Superior Ave, Costa Mesa, California. You can contact this provider via phone number 9492702100 and fax number 9496506976. The mailing address for Marisa Wayt is 1550 Superior Ave, Costa Mesa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marisa Wayt |
|---|---|
| Address | 1550 Superior Ave, Costa Mesa, California |
| Phone Number | 9492702100 |
| Fax Number | 9496506976 |
| Sole Proprietor | N |
| Credentials | MS,PA-C |
NPI Number Detail
| NPI Number | 1588735088 |
|---|---|
| Provider Enumeration Date | 2006-11-13 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 1550 Superior Ave |
|---|---|
| City | Costa Mesa |
| State | California (CA) |
| Post Code | 92627 |
| Phone Number | 9492702100 |
| Fax Number | 9496506976 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 17117 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 17117 | CA | STATE LICENSE NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Marisa Wayt by the Centers for Medicare & Medicaid Services?
The Marisa Wayt has been assigned the NPI (National Provider Identifier) 1588735088. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Marisa Wayt is physically located?
The Marisa Wayt is situated at the following address: 1550 Superior Ave, Costa Mesa, CA 92627.
What is Marisa Wayt's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Marisa Wayt is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
When did Marisa Wayt receive its 1588735088 assignment?
The Marisa Wayt was assigned its 1588735088 on 2006-11-13, which is the date when this unique identifier was issued to the organization.
When was the information regarding Marisa Wayt, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Marisa Wayt, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-03-07.