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

Bianca Parco Pugeda

Individual provider Family Nurse Practitioner · NPI 1932967627

Bianca Parco Pugeda is a Nurse Practitioner in Fairfield, California. Qualified in 2023, 3 years ago. Practices with Chanukya Dasari MD a Professional Corporation, a 10-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2024
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Practice location Address checks out

5176 Julia Berger Cir
Fairfield, CA 94534-4283
Phone: (650) 580-3371
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95029384 (CA)

Record details

NPI number1932967627
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 8, 2024
Last updated in NPPESMarch 8, 2024
Certification dateMarch 8, 2024
Mailing address5176 Julia Berger Cir, Fairfield, CA 94534-4283

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Chanukya Dasari Md A Professional Corporation — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fairfield