Pasha Sheree Fruman, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA22022 Issued in CA

Practice address

1301 E Main St
Barstow, CA 92311-3219

Phone

(760) 255-3200

Fax

(760) 255-3210

NPI assigned

Dec 28, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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 and National Provider Directory roles.

• Cep America - California

  • Emergency Medicine Physician
  • San Francisco, CA
  • NPI 1023063542

  CA

  Medicare reassignment
• Cep America - California

  • Emergency Medicine Physician
  • San Bernardino, CA
  • NPI 1215217088
  NPD

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

{
    "created_epoch": "1325030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325030400000",
    "number": "1639448178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 E MAIN ST",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923113219",
            "telephone_number": "760-255-3200",
            "fax_number": "760-255-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E MAIN ST",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923113219",
            "telephone_number": "760-255-3200",
            "fax_number": "760-255-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRUMAN",
        "first_name": "PASHA",
        "middle_name": "SHEREE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-28",
        "last_updated": "2011-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA22022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ambria Nicole Flippo
• Alyssa Brenda-Sue Flores, AGPCNP-C
• Antoinette Flores
• Elisa Ford
• Paula Lynn Fortin, MSN, FNP
• Lourdes Galeana
• Jeffery Galicia
• Christina Galindo
• Andrew Gallegos
• Melissa Gallegos

• All providers in Barstow, CA
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; 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.