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Brandon Mack

Physician Assistant β€’ Fullerton, CA

Active NPI 1962045666 Individual Practitioner Male Practitioner
Practice location in NPPES

2575 Yorba Linda Blvd
Fullerton, CA 928311699

Call 7144497400 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2575 Yorba Linda Blvd

Fullerton, CA 928311699

Telephone 7144497400
Organization at the Same NPPES Address or Phone
Laser Eye Care Of California, Llc Facility NPI 1902010259

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Fullerton and California

138 active clinicians are listed under Physician Assistant with a practice address in Fullerton, CA (14,458 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Fullerton

13% of these 138 clinicians have the CMS telehealth indicator.

42% of these 138 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-01-22
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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 perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

17 listed
Lusine Asadzian , PA-C

Physician Assistant - Medical

NPI 1194475640

Physician Assistant (Certified)

Brandon Craig , PA

Physician Assistant

NPI 1306562111

Physician Assistant

Diamond Garcia , PA

Physician Assistant

NPI 1700500030

Physician Assistant

Kellie Kodama

Physician Assistant

NPI 1164146494
David Kokubun

Physician Assistant

NPI 1558029827
Angelica Labadlabad , PA-C

Physician Assistant

NPI 1043935018

Physician Assistant (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 18, 2021

Physician Assistant

βœ…
NPI Profile Active October 25, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 25, 2019

Registered at 2575 YORBA LINDA BLVD, FULLERTON, CA 928311699 (Tel: 7144497400)

πŸ“
Business Mailing Address (Initial Record) October 25, 2019

Registered at 2575 YORBA LINDA BLVD, FULLERTON, CA 928311699 (Tel: 7144497400)

πŸ‘€
Provider Name / Credentials (Initial Record) October 25, 2019

Recorded as BRANDON MACK

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 25, 2019

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration October 25, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1962045666
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 25, 2019
Last Update: February 18, 2021
Sole Proprietor: No

Other Physician Assistants in Fullerton

All Physician Assistants in Fullerton

Mailing Address

2575 Yorba Linda Blvd

Fullerton, CA 928311699

Phone: 7144497400

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.