Individual provider · Type 1 NPI

Marlon S. Bazan, PA-C

Medical Physician Assistant · Santa Maria, CA

NPI number 1306329438 Active

Practice location

3596 Skyway Dr
Santa Maria, CA 93455-2513

Call (805) 354-5563 Map

Fax (805) 249-8059

Mailing address

PO Box 689
Santa Barbara, CA 93102-0689

Specialties and licenses

Taxonomy	Code	License
Medical Physician Assistant Primary	363AM0700X	PA57115 (CA)

Medical Physician Assistant: Definition to come...

Another provider at this address

Marcus Lee David Sickelton, PA-CPhysician Assistant Santa Maria, CA NPI 1245843143

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About NPI 1306329438

Marlon S. Bazan, PA-C's National Provider Identifier is 1306329438, issued on Sep 14, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Santa Maria, CA. The record was last updated on Oct 13, 2026.