| Angelica Buenrostro, PA-C | |
|
609 E Orangeburg Ave Ste 201, Modesto, CA 95350 | |
| (209) 572-3224 | |
| (209) 572-4528 |
| Full Name | Angelica Buenrostro |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 21 Years |
| Location | 609 E Orangeburg Ave Ste 201, Modesto, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720052418 | NPI | - | NPPES |
| 1068658 | Other | CA | NCCPA CERTIFICATION |
| PA18306 | Other | CA | PA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA18306 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventist Health Sonora | Sonora, CA | Hospital |
| Mark Twain Medical Center | San andreas, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sonora Community Hospital | 4284538505 | 134 |
| Entity Name | Sonora Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891732418 PECOS PAC ID: 4284538505 Enrollment ID: O20031119000910 |
| Entity Name | Sonora Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033100854 PECOS PAC ID: 4284538505 Enrollment ID: O20040316000829 |
| Entity Name | Integrated Pain Management Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922198779 PECOS PAC ID: 0547252918 Enrollment ID: O20040402001211 |
| Entity Name | Adventist Health Physicians Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063718583 PECOS PAC ID: 3274580972 Enrollment ID: O20050407000633 |
| Entity Name | Stanislaus Orthopaedic and Sports Medicine Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669505160 PECOS PAC ID: 0042373862 Enrollment ID: O20090130000279 |
| Entity Name | Adventist Health Physicians Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083976294 PECOS PAC ID: 3274580972 Enrollment ID: O20120726000175 |
| Mailing Address | Practice Location Address |
|---|---|
| Angelica Buenrostro, PA-C 609 E Orangeburg Ave Ste 201, Modesto, CA 95350-5512 Ph: (209) 572-3224 | Angelica Buenrostro, PA-C 609 E Orangeburg Ave Ste 201, Modesto, CA 95350 Ph: (209) 572-3224 |
Melina Lanzar, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1441 Florida Ave, Modesto, CA 95350 Phone: 209-578-1211 |
Ms. Manpreet Kaur Sheabat, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2401 E Orangeburg Ave Ste 330, Modesto, CA 95355 Phone: 209-726-7381 |
Viviana Vera, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1209 Woodrow Ave Ste B10, Modesto, CA 95350 Phone: 209-291-0687 |
Penny Goumenidis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1441 Florida Ave, Modesto, CA 95350 Phone: 209-578-1211 |
Ingrid Stephanie Medina, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 818-503-1233 |
Kevin Noel Bixel, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1401 Spanos Ct, Suite 130, Modesto, CA 95355 Phone: 209-550-4779 |
Shannon Michelle Gillespie, P.A-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1441 Florida Avenue, Modesto, CA 95350 Phone: 209-576-3609 |