Individual provider Active NPI

David Sanchez, PA-C

  • Physician Assistant
  • Fowler, CA
National Provider Identifier
1992750004
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA17983 Issued in CA
Practice address
106 E Main St
Fowler, CA 93625-2433
Phone
(800) 492-4227
Fax
(559) 424-5863
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 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 PA17983 CA Primary

Addresses

Primary practice location

106 E Main St
Fowler, CA 93625-2433

Mailing address

106 E Main St
Fowler, CA 93625-2433
Phone (800) 492-5863

Other practice location 1

2111 Herndon Ave
Clovis, CA 93611
Phone (559) 299-2200

Other practice location 2

119 S 6th St
Fowler, CA 93625-2439
Phone (559) 834-1614

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
I20240410003748 CA Practitioner - Physician Assistant 5294743902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.41 of 100Reported as group
Quality
87.02
Promoting interoperability
100
Improvement activities
40
Cost
78.21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA17983CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Foundation Medical Group CurrentSince Apr 15, 2024 Accepting new patients

Locations

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1992750004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 E MAIN ST",
            "city": "FOWLER",
            "state": "CA",
            "postal_code": "936252433",
            "telephone_number": "800-492-5863",
            "fax_number": "559-424-5863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E MAIN ST",
            "city": "FOWLER",
            "state": "CA",
            "postal_code": "936252433",
            "telephone_number": "800-492-4227",
            "fax_number": "559-424-5863"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2111 Herndon Ave",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "93611",
            "country_code": "US",
            "telephone_number": "559-299-2200",
            "fax_number": "559-299-1323",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 S 6th St",
            "address_purpose": "LOCATION",
            "city": "Fowler",
            "state": "CA",
            "postal_code": "936252439",
            "country_code": "US",
            "telephone_number": "559-834-1614",
            "fax_number": "559-834-3830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "DAVID",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA17983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fowler, CA

Sources for this page

Verify at the official NPI Registry.