Individual provider Active NPI

Adriela Yanett Sanchez, PA-C

  • Physician Assistant
  • Fresno, CA
National Provider Identifier
1336770999
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA60583 Issued in CA
Practice address
761 E Locust Ave Ste 103
Fresno, CA 93720-3023
Phone
(602) 743-2472
NPI assigned
Jan 31, 2020
Last updated
Nov 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA60583 CA Primary

Addresses

Primary practice location

761 E Locust Ave Ste 103
Fresno, CA 93720-3023

Mailing address

761 E Locust Ave Ste 103
Fresno, CA 93720-3023
Phone (602) 743-2472

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220321000300 CA Practitioner - Physician Assistant 4688069180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Express Care Medical Group a Professional CorporationGroup PAC ID 7315389376, 6 clinicians

Practice addresses (Care Compare)

3069 Tulare St
Fresno, CA 93721-1434
Phone (559) 412-8812

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA60583CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Camarena Health CurrentSince Jan 11, 2022 Accepting new patients
Camarena Health CurrentSince Jan 11, 2022 Accepting new patients

Locations

344 E 6th St
Madera, CA 93638
Phone (559) 664-4158

49169 Road 426
Oakhurst, CA 93644
Phone (559) 642-6724

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1336770999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 E LOCUST AVE STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203023",
            "telephone_number": "602-743-2472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 E LOCUST AVE STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203023",
            "telephone_number": "602-743-2472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "ADRIELA",
        "middle_name": "YANETT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-31",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA60583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.