Juan M Sarmiento, PA
Individual provider Active NPI Physician Assistant · Corning, CA
NPI 1851498026 · NPPES record last updated Jun 16, 2016
Key facts
- NPI
- 1851498026
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA11850 (CA)
- Practice address
- 2126 Solano St
Corning, CA 96021-2713 - Phone
- (530) 529-8267
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160830000424 | CA | Order and Referring Only - Physician Assistant | 0446248280 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11850 | CA | MD | Chiropractor |
| PA11850 | CA | MD | Physician Assistant |
Interoperability endpoints
- juan.sarmiento@srmg.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA11850 | CA | Yes |
Addresses
Primary practice location
2126 Solano St
Corning, CA 96021-2713
Mailing address
2126 Solano St
Corning, CA 96021-2713
Phone (530) 529-8267
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA11850 | Medicaid | CA |
Other providers in Corning, CA
- River Cities Counseling & Consulting Inc
- Timothy Wayne Robertson
- Rolling Hills Clinic
- Tracy L Rychtera
- Saud Sadeddin
- Dario Abramo Sartori
- Sierra Health and Wellness Centers LLC
- Denise Rae Smith
- Bryan Daniel Stowe
- Adam Strishak
All providers in Corning, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.