Individual provider · Type 1 NPI

Macayla Josephine Ponce

Physician Assistant · Fairfield, CA

NPI number 1063975308 Active

Practice location

4820 Business Center Dr Ste 110
Fairfield, CA 94534-1907

Call (707) 703-5075 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Physician Assistant Primary 363A00000XNone listed
Behavior Technician 106S00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1063975308

Macayla Josephine Ponce's National Provider Identifier is 1063975308, issued on Apr 12, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fairfield, CA. The record was last updated on Sep 14, 2025.