Wisal Fare, PA-C - Clinical Nurse Specialist in San Leandro, CA

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Wisal Fare, PA-C is a Clinical Nurse Specialist - Adult Health based in San Leandro, California. Wisal Fare is licensed to practice in California (license number PA13725) and her current practice location is 13851 E 14th St, Ste 305, San Leandro, California. She can be reached at her office (for appointments etc.) via phone at (510) 351-1193.

NPI number for Wisal Fare is 1578525598 and her current mailing address is 4721 Dallas Ranch Rd, Antioch, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1578525598.

Contact Information

Wisal Fare, PA-C
13851 E 14th St, Ste 305,
San Leandro, CA 94578-2631
(510) 351-1193
(510) 351-6456

Map and Direction




Provider's Profile

Full NameWisal Fare
GenderFemale
SpecialityClinical Nurse Specialist - Adult Health
Location13851 E 14th St, San Leandro, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1578525598
  • Provider Enumeration Date: 04/05/2006
  • Last Update Date: 09/23/2014

Medical Identifiers

Medical identifiers for Wisal Fare such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578525598NPI-NPPES
110006522OtherCAPTAN
ZZZ15328ZOtherCAPTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SA2200XClinical Nurse Specialist - Adult Health PA13725 (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. Wisal Fare 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 AddressPractice Location Address
Wisal Fare, PA-C
4721 Dallas Ranch Rd,
Antioch, CA 94531-8811

Ph: (925) 778-0679		Wisal Fare, PA-C
13851 E 14th St, Ste 305,
San Leandro, CA 94578-2631

Ph: (510) 351-1193

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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