Javier Ray Patino, is a
Rehabilitation Practitioner based in Fresno, California. Javier Ray Patino is licensed to practice in California (license number ) and his current practice location is
3433 W Shaw Ave Ste 102, Fresno, California. He can be reached at his office (for appointments etc.) via phone at
(559) 558-4051.
NPI number for Javier Ray Patino is 1801516604 and his current mailing address is 3433 W Shaw Ave Ste 102, Fresno, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1801516604.
Healthcare Provider's Profile
| Full Name | Javier Ray Patino |
|---|
| Gender | Male |
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| Speciality | Rehabilitation Practitioner |
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| Location | 3433 W Shaw Ave Ste 102, Fresno, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1801516604
- Provider Enumeration Date: 08/31/2022
- Last Update Date: 06/04/2025
Medical Identifiers
Medical identifiers for Javier Ray Patino such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801516604 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Secondary |
| 225400000X | Rehabilitation Practitioner | (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Javier Ray Patino is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Javier Ray Patino,
3433 W Shaw Ave Ste 102,
Fresno, CA 93711-3229
Ph: (559) 558-4051 | Javier Ray Patino,
3433 W Shaw Ave Ste 102,
Fresno, CA 93711-3229
Ph: (559) 558-4051 |
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