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

Audreana Justine Brancaccio

Individual provider Physician Assistant · NPI 1720866957

Audreana Justine Brancaccio is a Physician Assistant in San Diego, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

4060 Fairmount Ave
San Diego, CA 92105-1608
Phone: (619) 255-9155
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA66000 (CA)

Record details

NPI number1720866957
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 19, 2023
Last updated in NPPESMarch 31, 2025
Certification dateMarch 31, 2025

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