Mina Afnan
Individual provider Active NPI Physician Assistant · Fairfield, CA
NPI 1023889672 · NPPES record last updated Feb 14, 2025
Key facts
- NPI
- 1023889672
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 64245 (CA)
- Practice address
- 2702 Low CT
Fairfield, CA 94534-9771 - Phone
- (707) 427-4900
- NPI assigned
- Jan 12, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 28
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sutter Valley Medical Foundation
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
- Sutter Solano Medical Center
- Sutter Medical Center, Sacramento
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 |
|---|---|---|---|---|
| I20240430004357 | CA | Practitioner - Physician Assistant | 8426498973 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- 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 | |
| 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
600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850
Interoperability endpoints
- mafnan706180@hisp.ehr.sutterhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 64245 | CA | Yes |
Addresses
Primary practice location
2702 Low CT
Fairfield, CA 94534-9771
Mailing address
PO Box 255228
Sacramento, CA 95865-5228
Other providers in Fairfield, CA
- Advent Healthcare Services LLC
- Adventist Health Physicians Network
- Adventus Education LLC
- Adya Hospice & Palliative Care, LLC
- Desiree Afable
- Marriyum Aftab
- Agape Counseling Center and Network
- Agape Love Home Care
- Erin Katelyn Agostini
- Juliana Agosto
All providers in Fairfield, 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 Feb 14, 2025. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.