Mary Kreshon, PA-C

Individual Active
NPI 1114349693
Medical Physician Assistant San Diego, CA

NPI 1114349693 belongs to Mary Kreshon, PA-C, a medical physician assistant with a practice location in San Diego, CA. The NPI was issued on January 17, 2014, and the record was last updated in NPPES on December 19, 2022. The record lists 3 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X 52673 (CA)
Physician Assistant 363A00000X 001004757 (NC)
Surgical Physician Assistant 363AS0400X 0010-04757 (NC)

Practice location

6195 Lusk Blvd Ste 250
San Diego, CA 92121-3715
Phone: (858) 859-1188

Local context

Active NPPES records list 344 providers with medical physician assistant as the primary taxonomy within 25 miles of this practice location's ZIP code, 126 of them within 10 miles.

The same primary taxonomy is listed by 3,510 in California and 40,194 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Ms. Mary Kreshon
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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