Individual provider Active NPI

Jason Ezequiel Sanchez, PA-C

  • Physician Assistant
  • Fresno, CA
National Provider Identifier
1871826966
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA20499 Issued in CA
Practice address
1290 E Spruce Ave Ste 101
Fresno, CA 93720-3371
Phone
(559) 431-2397
Fax
(559) 435-2132
NPI assigned
Sep 8, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA20499 CA Primary
Medical Physician Assistant 363AM0700X PA20499 CA

Addresses

Primary practice location

1290 E Spruce Ave Ste 101
Fresno, CA 93720-3371

Mailing address

1290 E Spruce Ave Ste 101
Fresno, CA 93720-3371
Phone (559) 431-2397

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
I20130412000507 CA Practitioner - Physician Assistant 0042456246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edgar S. Macias, M.D., IncGroup PAC ID 2567630551, 13 clinicians

Practice addresses (Care Compare)

7115 N Chestnut Ave
Suite 101
Fresno, CA 93720-0361
Phone (559) 431-2397

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Direct Dermatology Professionals PC Dermatology Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432080000000",
    "number": "1871826966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 E SPRUCE AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203371",
            "telephone_number": "559-431-2397",
            "fax_number": "559-435-2132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 E SPRUCE AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203371",
            "telephone_number": "559-431-2397",
            "fax_number": "559-435-2132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "JASON",
        "middle_name": "EZEQUIEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-08",
        "last_updated": "2015-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA20499",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA20499",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.