Individual provider · Type 1 NPI

Edward Menacho, PA

Physician Assistant · San Bernardino, CA

NPI number 1760036958 Active

Practice location

1845 Business Center Dr Ste 102
San Bernardino, CA 92408-3447

Call (909) 957-9921 Map

Mailing address

PO Box 31309
Los Angeles, CA 90031-0309

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XPA2900 (NV)
Physician Assistant Primary 363A00000X57027 (CA)

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 1760036958

Edward Menacho, PA's National Provider Identifier is 1760036958, issued on Jul 26, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in San Bernardino, CA. The record was last updated on Jun 30, 2025.