Individual provider · Type 1 NPI

Vanessa I. Mares Andrade, PA-S

Medical Physician Assistant · Vallejo, CA

NPI number 1053225110 Active

Practice location

1310 Club Dr
Vallejo, CA 94592-1187

Call (707) 638-5809 Map

Mailing address

2655 Stephanie St
Selma, CA 93662-4906

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1053225110

Vanessa I. Mares Andrade, PA-S's National Provider Identifier is 1053225110, issued on Sep 28, 2026. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Vallejo, CA. The record was last updated on Sep 28, 2026.