| Mr Edman Fuentes, PAC | |
|
900 Greenley Rd, Suite 914, Sonora, CA 95370-5287 | |
| (925) 469-6274 | |
| (925) 924-1769 |
| Full Name | Mr Edman Fuentes |
|---|---|
| Gender | Male |
| Speciality | |
| Experience | Years |
| Location | 900 Greenley Rd, Sonora, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013988955 | NPI | - | NPPES |
| PA9102297 | Other | FL | MEDICAL LICENSE |
| PA51630 | Other | CA | MEDICAL LICENSE |
| 291613400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA.008727 (Colorado) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | PA51630 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Edman Fuentes, PAC 5725 W Las Positas Blvd, Suite 200, Pleasanton, CA 94588-4054 Ph: (925) 469-6274 | Mr Edman Fuentes, PAC 900 Greenley Rd, Suite 914, Sonora, CA 95370-5287 Ph: (925) 469-6274 |
Wyatt Stebbins, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 Greenley Rd, Sonora, CA 95370 Phone: 209-532-1326 | |
Jester Mark Callejo Odrunia, Physician Assistant Medicare: Medicare Enrolled Practice Location: 900 Mono Way, Sonora, CA 95370 Phone: 694-020-9536 | |
Gunnar Erik Rohde-moe, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 14677 Deon Dr, Sonora, CA 95370 Phone: 209-532-1844 | |
Mr. Jorge Ortega Rodriguez, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 13975 Mono Way, Sonora, CA 95370 Phone: 209-533-9600 | |
Ryan Salt, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 13975 Mono Way Ste G, Sonora, CA 95370 Phone: 209-533-9600 Fax: 209-533-9608 | |
Christine Ann Elder, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 19933 Greenley Rd, Sonora, CA 95370 Phone: 209-536-0505 Fax: 209-536-0506 |