NPIMap

Individual provider Active NPI

Michael Francis Fisher, PA

  • Medical Physician Assistant
  • Los Banos, CA
National Provider Identifier
1629076237
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
64471 Issued in CA
Practice address
285 Mercey Springs Rd Ste a
Los Banos, CA 93635-3878
Phone
(209) 829-0444
NPI assigned
Jul 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA 979 NV
Medical Physician Assistant 363AM0700X PA891 KY
Medical Physician Assistant 363AM0700X 64471 CA Primary
Medical Physician Assistant 363AM0700X PA979 NV
Medical Physician Assistant 363AM0700X 0110002760 VA

Addresses

Primary practice location

285 Mercey Springs Rd Ste a
Los Banos, CA 93635-3878

Mailing address

23280 Lightner Rd
Guysville, OH 45735-9482

Other identifiers 1

IdentifierTypeStateIssuer
3662079MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY, TX3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200624002206 FL Practitioner - Physician Assistant 3173412160 Reassigns benefits to 2 organizations
I20260319000135 NY Practitioner - Physician Assistant 3173412160 Reassigns benefits to 1 organization
I20260512001149 TX Practitioner - Physician Assistant 3173412160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Choctaw Nation of OklahomaGroup PAC ID 1759294838, 271 clinicians
The Memorial Hospital of William F and Gertrude F Jones IncGroup PAC ID 7012828486, shared by 8 NPIs, 130 clinicians

Practice addresses (Care Compare)

1127 S George Nigh Expy
Choctaw Nation Health Care McAlester
McAlester, OK 74501-7143
Phone (539) 316-6391

7309 Seneca Rd N
Hornell, NY 14843-9691
Phone (585) 596-0145

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
033140NYMDPhysical Therapist
PA891KYMDMedical Physician Assistant
PA979NVMDMedical Physician Assistant
PA 979NVMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Memorial Hospital of William F. and Gertrude F. Jones, Inc. CurrentSince Jan 26, 2026 Accepting new patients
The Memorial Hospital of William F. and Gertrude F. Jones, Inc. CurrentSince Jan 26, 2026 Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
James J Lynch MD LTD Past Accepting new patients
Sterling Emergency Services of Virginia Inc Past Accepting new patients
Ecs of Virginia, Inc. Past Accepting new patients

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1629076237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23280 LIGHTNER RD",
            "city": "GUYSVILLE",
            "state": "OH",
            "postal_code": "457359482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 MERCEY SPRINGS RD STE A",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936353878",
            "telephone_number": "209-829-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "MICHAEL",
        "middle_name": "FRANCIS",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NV",
            "license": "PA 979",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA891",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "64471",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "PA979",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110002760",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3662079",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Banos, CA

Sources for this page

Verify at the official NPI Registry.