Sherese M Akrotirianakis, PA
Individual provider Active NPI Physician Assistant · Fontana, CA
NPI 1871701474 · NPPES record last updated Apr 25, 2011
Key facts
- NPI
- 1871701474
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA17276 (CA)
- Practice address
- 9961 Sierra Ave
Dept of Family Medicine
Fontana, CA 92335-6720 - Phone
- (909) 427-5000
- NPI assigned
- May 18, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA17276 | CA | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA17276 | CA | Yes |
Addresses
Primary practice location
9961 Sierra Ave
Dept of Family Medicine
Fontana, CA 92335-6720
Mailing address
393 E. Walnut Street
PHR Group & Provider Enrollment Unit, 3Rd Floor
Pasadena, CA 91188-0001
Phone (626) 405-7966
Other names
- Ms. Sherese M Scoto Di Vettimo
Other providers in Fontana, CA
- Paul K. Aka
- Imad Akel
- Dedra P. Akins
- Aklan Meadows, Inc
- Aklan Meadows, Inc.
- Al Hayba Home LLC
- Raghad Al-Aubid
- Fady Talal Al-Helo
- Sarab N. Al-Nakeeb
- Ethar Riyadh Al-Wazeer
All providers in Fontana, 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 Apr 25, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.