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

Edward Menacho, PA

Individual provider Medical Physician Assistant · NPI 1760036958

Edward Menacho, PA is a Medical Physician Assistant in San Bernardino, California. Licensed in California and Nevada. Registered with an NPI since 2019.

Licensed in
CA, NV
In the registry since
2019
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

1845 Business Center Dr Ste 102
San Bernardino, CA 92408-3447
Phone: (909) 957-9921
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 57027 (CA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA2900 (NV)

Record details

NPI number1760036958
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 26, 2019
Last updated in NPPESJune 30, 2025
Certification dateJune 30, 2025

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