Active NPI
Mina Afnan
- Physician Assistant
- Fairfield, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 64245
- Practice address
- 2702 Low CT
Fairfield, CA 94534-9771 - Phone
- (707) 427-4900
- NPI assigned
- Jan 12, 2024
- Last updated
- Feb 14, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 64245 | CA | Primary |
Addresses
Primary practice location
2702 Low CT
Fairfield, CA 94534-9771
Mailing address
PO Box 255228
Sacramento, CA 95865-5228
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2702 Low CT
Fairfield, CA 94534-9771
Phone (707) 432-2600
2720 Low CT
Fairfield, CA 94534-9771
Phone (707) 428-2731
2800 L St
Sacramento, CA 95816-5616
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Valley Medical Foundation | Physician Assistant | Current | Accepting new patients |
| Cep America - California | Current | Accepting new patients | |
| Cep America-California | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Sutter North Medical Foundation | Past | Accepting new patients |
Locations
2702 Low Ct
Fairfield, CA 94534
Phone (707) 432-2600
2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731
500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000
815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125
600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755
4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156
2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850
Interoperability endpoints
- mafnan706180@hisp.ehr.sutterhealth.org
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Sutter Gould Medical Foundation
- Multi-Specialty Clinic/Center
- Modesto, CA
- NPI 1669846986
-
- Emergency Medicine Physician
- Murrieta, CA
- NPI 1588552848
-
dba Sutter Regional Medical Foundation
- Multi-Specialty Clinic/Center
- Fairfield, CA
- NPI 1184859894
Physician Assistant
-
- Durable Medical Equipment & Medical Supplies
- Tracy, CA
- NPI 1720930712
-
dba Sutter North Surgery Center
- Ambulatory Surgical Clinic/Center
- Yuba City, CA
- NPI 1144251521
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sutter Solano Medical Center
- General Acute Care Hospital
- Vallejo, CA
- NPI 1366686248
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1811946734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739491200000",
"number": "1023889672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 255228",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958655228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2702 LOW CT",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945349771",
"telephone_number": "707-427-4900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AFNAN",
"first_name": "MINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-12",
"last_updated": "2025-02-14",
"certification_date": "2025-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "64245",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, CA
- Advanced Multi Specialty Medical Group (As Soon As Possible Medical Center Inc)
- Advent Healthcare Services LLC
- Adventist Health Physicians Network
- Adventus Education LLC (GCC Laboratory)
- Desiree Afable
- Marriyum Aftab
- Agape Counseling Center and Network
- Agape Love Home Care
- Erin Katelyn Agostini
- Juliana Agosto
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.