Individual provider · Type 1 NPI
Edman Fuentes, PAC
Surgical Physician Assistant · Sonora, CA
NPI number
1013988955
Active
Practice location
900 Greenley Rd, Suite 914
Sonora, CA 95370-5287
Fax (925) 924-1769
Mailing address
5725 W Las Positas Blvd, Suite 200
Pleasanton, CA 94588-4054
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA.008727 (CO) |
| Surgical Physician Assistant Primary | 363AS0400X | PA51630 (CA) |
Surgical Physician Assistant: Definition to come...
16 other providers at this address
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- Sonora Pulmonary and Critical Care Medicine, Professional CorporationPulmonary Disease Physician Sonora, CA NPI 1760519615
- Brenda Joan Forrest, MDInternal Medicine Physician Sonora, CA NPI 1538375365
- Christi L. Petersen, FNPNurse Practitioner Sonora, CA NPI 1336131523
- Jacquelyn Rose Cituk, PharmD, RPHPharmacist Sonora, CA NPI 1881028843
- James D. Mosson, MDInternal Medicine Physician Sonora, CA NPI 1437135670
- James Leonard Comazzi, MDSpecialist Sonora, CA NPI 1144268392
- Joanne Linda Rios, CNSClinical Nurse Specialist Sonora, CA NPI 1174583918
- Kevin A. Orca, PharmDPharmacist Sonora, CA NPI 1053756916
- Meredith R. McBride, MDVascular Surgery Physician Sonora, CA NPI 1255439923
Other surgical physician assistant providers in Sonora
About NPI 1013988955
Edman Fuentes, PAC's National Provider Identifier is 1013988955, issued on Jan 30, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Sonora, CA. The record was last updated on Jan 21, 2025.