| Ryan Joseph Aragones Honculada, | |
|
1800 N California St, Stockton, CA 95204-6019 | |
| (209) 467-6560 | |
| Not Available |
| Full Name | Ryan Joseph Aragones Honculada |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 1800 N California St, Stockton, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659008662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA63748 (California) | Primary |
| Entity Name | Port City Operating Company LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528190931 PECOS PAC ID: 5597054452 Enrollment ID: O20170822003812 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Joseph Aragones Honculada, 1701 S Mills Ave Apt 11, Lodi, CA 95242-4256 Ph: (562) 916-6799 | Ryan Joseph Aragones Honculada, 1800 N California St, Stockton, CA 95204-6019 Ph: (209) 467-6560 |
Christophe Thomas Anslinger, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2488 N California St, Stockton, CA 95204 Phone: 209-948-3333 |
Stefan Jonathan Meers Estrada, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2505 W Hammer Ln, Stockton, CA 95209 Phone: 209-954-4040 Fax: 209-951-2239 |
Sabah Ayubyar, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1617 N California St, Stockton, CA 95204 Phone: 209-466-8546 |
Czarinabelle Perez, Physician Assistant Medicare: Medicare Enrolled Practice Location: 2626 N California St Ste B, Stockton, CA 95204 Phone: 209-466-2626 |
Mrs. Sandra Robles-bonham, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 77 W. March Lane, Suite A, Stockton, CA 95207 Phone: 209-477-5552 Fax: 209-477-5553 |
Stanley Ray Cathey, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 8719 Moreno Ct, Stockton, CA 95209 Phone: 209-269-0120 Fax: 209-476-1962 |
Yirye Hwangbo, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6940 Pacific Ave, Stockton, CA 95207 Phone: 209-477-4817 |