Enrique Talamantes, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA17804 Issued in CA

Practice address

9696 Stephens St
Delhi, CA 95315-9550

Phone

(209) 667-0702

Fax

(209) 667-6737

NPI assigned

Nov 22, 2005

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Merced Faculty Associates Medical Group Incorporated

  • Family Medicine Physician
  • Merced, CA
  • NPI 1285623256
  Medicare reassignment
• Merced Faculty Associates Medical Group Incorporated

  dba Express Health

  • Family Medicine Physician
  • Atwater, CA
  • NPI 1215189477
  NPD
• Merced Faculty Associates Medical Group Incorporated

  dba Delhi Medical Clinic

  • Family Medicine Physician
  • Delhi, CA
  • NPI 1821205469
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1184607376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1763 GROGAN AVE",
            "address_2": "PO BOX 3768",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953416455",
            "telephone_number": "209-725-7149",
            "fax_number": "209-726-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9696 STEPHENS ST",
            "city": "DELHI",
            "state": "CA",
            "postal_code": "953159550",
            "telephone_number": "209-667-0702",
            "fax_number": "209-667-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALAMANTES",
        "first_name": "ENRIQUE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA17804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA CERT #",
            "identifier": "1065229",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ann Snethen
• Marion Joseph Sniezek, NP
• Jennifer Staffero, LCSW
• Christina Stuart, M.D.
• Surjit Chahal Dental Professional (American Family Dentistry)
• Mandeep Singh Uppal, FNP

• Medical Physician Assistant in Delhi, CA
• Providers in Delhi, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.