Individual provider Active NPI

Cayla Marie Witrado, PA-C

  • Physician Assistant
  • Fresno, CA
National Provider Identifier
1790300721
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
58154 Issued in CA
Practice address
7152 N Sharon Ave Ste 102
Fresno, CA 93720-3361
Phone
(559) 432-6807
NPI assigned
Jun 16, 2020
Last updated
Jan 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 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 58154 CA Primary

Addresses

Primary practice location

7152 N Sharon Ave Ste 102
Fresno, CA 93720-3361

Mailing address

7152 N Sharon Ave Ste 102
Fresno, CA 93720-3361
Phone (559) 432-6807

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
I20211202002009 CA Practitioner - Physician Assistant 4587054721 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert G Salazar MD IncGroup PAC ID 0042307589, 4 clinicians

Practice addresses (Care Compare)

1630 E Herndon Ave
Fresno, CA 93720-3391
Phone (559) 290-7051

7152 N Sharon Ave
Suite 102
Fresno, CA 93720-3361
Phone (559) 432-6807

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Robert G. Salazar M.D. Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cayla.witrado.1@26618.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1790300721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7152 N SHARON AVE STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203361",
            "telephone_number": "559-432-6807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7152 N SHARON AVE STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203361",
            "telephone_number": "559-432-6807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITRADO",
        "first_name": "CAYLA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-16",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "58154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.