Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SALLY E. DECASTRO-TILSEN, P.A.
ActiveSALLY E. DECASTRO-TILSEN, P.A. is a Physician Assistant healthcare provider located in NEWPORT BEACH, California. NPI 1023282019 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · NEWPORT BEACH, CA
Registration Details
- NPI Number
- 1023282019
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 22, 2008 (18.314020183217 yrs)
- Last Updated
- Apr 22, 2008
- Licenses
-
PA 10296 (CA)PA 10296 (CA)
Practice Information
- Address
-
400 NEWPORT CENTER DR STE 701NEWPORT BEACH, CA, 926607608Browse CA providers · Browse ZIP 92660
- Phone
- 9497598001
- Fax
- 9497603671
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Medical Physician Assistant
Other Physician Assistant Providers in NEWPORT BEACH, CA
| Name | Credential | NPI |
|---|---|---|
| HECTOR C GONZALEZ | PA-C | 1689676306 |
| GINA M G DUEL | MS PAC | 1912985979 |
| MELISSA MARIE CALLIHAM | P.A-C | 1790725687 |
| MRS. BRENDA ANN BUSHEY | PA-C | 1700827664 |
| JANET GEISLER NAKAMURA | PA-C | 1972547537 |
| SHELLEY DOLKAS LICKL | PA | 1760416572 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.