Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anina Dee Bacon, PA-C

Individual provider Medical Physician Assistant · NPI 1952739708

Anina Dee Bacon, PA-C is a Physician Assistant in Fresno, California. Qualified in 2013, 13 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
13
Licensed in
WA
In the registry since
2013
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2823 Fresno St
Fresno, CA 93721-1324
Phone: (559) 443-2682
Fax: (559) 443-2681
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA.PA.60357177 (WA)

Record details

NPI number1952739708
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 14, 2013
Last updated in NPPESJuly 7, 2026
Certification dateJuly 7, 2026
Mailing address1035 116th Ave Ne, Bellevue, WA 98004-4604

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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