MR. EDMAN FUENTES PAC NPI 1013988955

NPI Information

  • NPI: 1013988955
  • Provider Name: MR. EDMAN FUENTES, PAC
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 900 GREENLEY RD
    SUITE 914
    SONORA, CA
    ZIP 95370
  • Phone: (925) 469-6274

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NPI Details

MR. Edman Fuentes, PAC is a surgical physician assistant in Sonora, CA with 23 years of experience. MR. Edman Fuentes, PAC NPI is 1013988955. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

900 GREENLEY RD
SUITE 914
SONORA, CA
ZIP 95370-287
Phone: (925) 469-6274
Fax: (925) 924-1769

The NPI 1013988955 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment (HCPCS:63048)
  • Fusion of additional segment of spine (HCPCS:22614)
  • Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment (HCPCS:63047)
  • Placement of stabilizing device to back, 3-6 spine bone segments (HCPCS:22842)
  • Injection of trigger points, 1-2 muscles (HCPCS:20552)

The enumeration date for this NPI number is 1/30/2006 and was last updated on 1/21/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgicalPA.008727COLORADONo
2363AS0400XPhysician AssistantSurgicalPA51630CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PA9102297OTHERFLORIDAMEDICAL LICENSE
2PA51630OTHERCALIFORNIAMEDICAL LICENSE
3291613400MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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