Tatyana Mitina (NPI# 1063537561, PAC ID# 8325123458) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1063537561 |
| PAC ID by PECOS | 8325123458 |
| Professional Enrollment ID | I20080312000738 |
| Full Name | Tatyana Mitina |
| Organization Legal Name | COVINGTON MENZ LYCHE AND LIN MEDICAL GP |
| Address |
168 N Brent St Suite 404 Ventura CA 93003-2824 |
| Phone Number | 8056416525 |
| Gender | F |
| Graduation Year | 2002 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2860449865 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050394 | COMMUNITY MEMORIAL HOSPITAL SAN BUENAVENTURA |
| 051334 | OJAI VALLEY COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 168 N Brent St, Suite 404, Ventura, CA 93003-2824 | 8056416525 | COVINGTON MENZ LYCHE AND LIN MEDICAL GP |
| Organization Legal Name | COVINGTON MENZ LYCHE AND LIN MEDICAL GP |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen D Covington | Gastroenterology | Covington Menz Lyche and Lin Medical Gp | 168 N Brent St, Suite 404, Ventura, CA 93003-2824 |
| Charles L Menz | Gastroenterology | Covington Menz Lyche and Lin Medical Gp | 168 N Brent St, Suite 404, Ventura, CA 93003-2824 |
| Tesu T Lin | Gastroenterology | Covington Menz Lyche and Lin Medical Gp | 168 N Brent St, Suite 404, Ventura, CA 93003-2824 |
| Laya Nasrollah | Gastroenterology | Covington Menz Lyche and Lin Medical Gp | 168 N Brent St, Suite 404, Ventura, CA 93003-2824 |
| Dang T Bui | Pathology | Covington Menz Lyche and Lin Medical Gp | 168 N Brent St, Suite 404, Ventura, CA 93003-2824 |
| Kip D Lyche | Gastroenterology | Covington Menz Lyche and Lin Medical Gp | 168 N Brent St, Suite 404, Ventura, CA 93003-2824 |
| Benito Antonio Pedraza | Gastroenterology | Covington Menz Lyche and Lin Medical Gp | 168 N Brent St, Suite 404, Ventura, CA 93003-2824 |
| Joel A Alpern | Gastroenterology | Covington Menz Lyche and Lin Medical Gp | 168 N Brent St, Suite 404, Ventura, CA 93003-2824 |
| Chetan Vithal Gondha | Gastroenterology | Covington Menz Lyche and Lin Medical Gp | 168 N Brent St, Suite 404, Ventura, CA 93003-2824 |
| Street Address |
168 N BRENT ST SUITE 404 |
| City | VENTURA |
| State | CA |
| Zip | 93003-2824 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jamie Elizabeth Brady | Physician Assistant | California Cardiovascular and Thoracic Surgeons | 168 N Brent St, Suite 508, Ventura, CA 93003-2817 |
| Jeffrey C Brackett | Cardiovascular Disease (cardiology) | Cardiology Associates Medical Group | 168 N Brent St, Suite 503, Ventura, CA 93003-2840 |
| James Dallas Woodburn Iii | General Surgery | 168 N Brent St, Suite 504, Ventura, CA 93003-2840 | |
| Geoffrey L. Loman | Family Medicine | Dignity Health Medical Foundation | 168 N Brent St, Suite 502, Ventura, CA 93003-2840 |
| Thomas Golden | Orthopedic Surgery | 168 N Brent St, Suite 505, Ventura, CA 93003-2840 | |
| Joseph Alexander Eisner | General Surgery | General Surgery Medical Group of Ventura County | 168 N Brent St, Suite 506, Ventura, CA 93003-2892 |
| Lawrence Kim | Pulmonary Disease | Ventura Pulmonary and Critical Care Medical Group | 168 N Brent St, Suite 406, Ventura, CA 93003-2817 |
| Brian M Martinez | Physician Assistant | Cardiology Associates Medical Group | 168 N Brent St, Suite 503, Ventura, CA 93003-2840 |
| Stephen D Covington | Gastroenterology | Covington Menz Lyche and Lin Medical Gp | 168 N Brent St, Suite 404, Ventura, CA 93003-2824 |
| Timothy G Bryant | General Surgery | General Surgery Medical Group of Ventura County | 168 N Brent St, Suite 506, Ventura, CA 93003-2892 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristopher Robert Skromme | Optometry | 801 S Victoria Ave, Suite 206 Two Trees Optometry, Ventura, CA 93003-0401 | |
| Susan M Roney | Nurse Practitioner | 1290 Sunnycrest Ave, Ventura, CA 93003-1213 | |
| Judy S Scott I | Clinical Social Worker | 899 Via Arroyo, Ventura, CA 93003-1318 | |
| Margaret A Peterson | Family Medicine | 2895 Loma Vista Rd E, Ventura, CA 93003-1522 | |
| John Floryan | Optometry | 2895 Loma Vista Rd, A, Ventura, CA 93003-1522 | |
| Lindsay Oliver | Physical Therapy | Two Trees Physical Therapy and Wellness Inc | 2895 Loma Vista Rd, Suite H, Ventura, CA 93003-1542 |
| Maria Margarida Guerra Larson | Physical Therapy | Two Trees Physical Therapy and Wellness Inc | 2895 Loma Vista Rd, Suite H, Ventura, CA 93003-1542 |
| Michael C Bishop | Physical Therapy | Two Trees Physical Therapy and Wellness Inc | 2895 Loma Vista Rd, Suite H, Ventura, CA 93003-1542 |
| Sara E Rodriguez | Physical Therapy | Two Trees Physical Therapy and Wellness Inc | 2895 Loma Vista Rd, Suite H, Ventura, CA 93003-1542 |
| Vika Preddy | Physical Therapy | Two Trees Physical Therapy and Wellness Inc | 2895 Loma Vista Rd, Suite H, Ventura, CA 93003-1542 |
| Find all physicians in zip 93003 | |||
| City | VENTURA |
| Zip Code | 93003 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | VENTURA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Tatyana Mitina.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.