Steven Georgio Robert Connell, P.A
Individual provider Active NPI Physician Assistant · Huron, CA
NPI 1023240447 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1023240447
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 21511 (CA)
- Practice address
- 17008 13TH St.
Huron, CA 93234-9997 - Phone
- (800) 492-4227
- NPI assigned
- Aug 18, 2009
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160516001477 | CA | Practitioner - Physician Assistant | 8628381282 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21511 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - California | Current |
Accepting new patients | |
| United Health Centers of the San Joaquin Valley | Past | Accepting new patients | |
| Chase Dennis Emergency Medical Group Inc | Physician Assistant | Past | Accepting new patients |
Locations
115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
869 N Cherry St
Tulare, CA 93274
Phone (559) 326-2800
Interoperability endpoints
- steven.connell.1@17661.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 21511 | CA | Yes |
Addresses
Primary practice location
17008 13TH St.
Huron, CA 93234-9997
Mailing address
3875 W Beechwood Ave
Fresno, CA 93711-0794
Phone (800) 492-4227
Other providers in Huron, CA
- Olawunmi M Abass
- Adeel Anwar
- Diego Isai Baca
- Asbel Obed Bolado
- Coalinga Valley Health Clinics. Inc
- Eminence Healthcare Services, LLC
- Eminence Healthcare Services, LLC
- Gilmar Fatima
- Fresno County Huron Mental Health Clinic
- Gilmar Fatima
All providers in Huron, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.