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

Antonio Buenrostro Rubio, PA

Individual provider Physician Assistant · NPI 1205907409

Antonio Buenrostro Rubio, PA is a Physician Assistant in Fresno, California. Qualified in 2001, 25 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
25
Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2210 E Illinois Ave Ste 401
Fresno, CA 93701-2125
Phone: (559) 320-0531
Fax: (559) 320-0539
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA16270 (CA)
Physician Assistant Taxonomy 363A00000X · Licence PA16270 (CA)

Record details

NPI number1205907409
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 11, 2006
Last updated in NPPESDecember 3, 2011
Mailing address4910 E Clinton Way, Suite 101, Fresno, CA 93727-1560

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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