Darlene M Androus Junk, PA/C
Individual provider Active NPI Physician Assistant · Corning, CA
NPI 1144272766 · NPPES record last updated Aug 28, 2019
Key facts
- NPI
- 1144272766
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA15059 (CA)
- Practice address
- 2126 Solano Street
Corning, CA 96021 - Phone
- (530) 824-7845
- Fax
- (530) 824-4084
- NPI assigned
- May 16, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| I20171215002634 | CA | Practitioner - Physician Assistant | 3971811233 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15059 | CA | MD | Acupuncturist |
| PA15059 | CA | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA15059 | CA | Yes |
Addresses
Primary practice location
2126 Solano Street
Corning, CA 96021
Mailing address
2126 Solano Street
Corning, CA 96021
Phone (530) 824-7845
Other providers in Corning, CA
- Adventist Health Clearlake Hospital Inc.
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Katherine Algeri
- Meredith Anne Allen
- Barbara Kinkle PA Inc., a Physician Assistant Corporation
- Cynthia Barbo
- Cesar Luis Baruja-Baquer
- Martin Blanco
- Dorothy Ann Bratton
All providers in Corning, 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 Aug 28, 2019. 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.