Angela Fisher-Weaver, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA21144 Issued in CA

Practice address

35591 E Kings Canyon Rd Ste B
Squaw Valley, CA 93675-9651

Phone

(559) 903-7221

Fax

(559) 557-4596

NPI assigned

Sep 22, 2010

Last updated

Oct 17, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, ID, WY3 enrollments

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 3

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: angela.fisher-weaver.1@25843.direct.athenahealth.com
• Direct secure messaging: angela.fisher-weaver@1077866882859012.direct.elationemr.com

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.

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  Medicare reassignment
• Cep America, LLC

  dba Vituity

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  • NPI 1811357023
  Medicare reassignment
• Cep America - California

  dba Vituity

  • Emergency Medicine Physician
  • Reedley, CA
  • NPI 1609143452
  NPD
• Cep America-California

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  • Murrieta, CA
  • NPI 1588552848
  NPD
• Nes Western Group, a Professional Corporation

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  NPD

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1669780722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35591 E KINGS CANYON RD STE B",
            "city": "SQUAW VALLEY",
            "state": "CA",
            "postal_code": "936759651",
            "telephone_number": "559-903-7221",
            "fax_number": "559-557-4596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35591 E KINGS CANYON RD STE B",
            "city": "SQUAW VALLEY",
            "state": "CA",
            "postal_code": "936759651",
            "telephone_number": "559-903-7221",
            "fax_number": "559-557-4596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER-WEAVER",
        "first_name": "ANGELA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-22",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA-1513",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "UT",
            "license": "14191875-1206",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WY",
            "license": "PA-918",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA21144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candice Brantley, FNP-C
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• Joseph F Ruda Jr MD (a Medical Corporation )
• Gail Melton
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• Melissa Scheidt, OTA

• Physician Assistant in Squaw Valley, CA
• Providers in Squaw Valley, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; 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.