Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Edwin G Ventocilla, PA-C

Individual provider Physician Assistant · NPI 1508934860

Edwin G Ventocilla, PA-C is a Physician Assistant in Sacramento, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
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

6339 Mack Rd
Sacramento, CA 95823-4655
Phone: (916) 454-2345
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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 PA16349 (CA)

Record details

NPI number1508934860
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 2, 2006
Last updated in NPPESJanuary 6, 2023
Certification dateJanuary 6, 2023

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