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

Fajie MA II

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1891079455

Fajie MA II is a Pain Management in Stockton, California. Qualified in 1992, 34 years ago. Practices with Pain Clinics of Central California, Inc, a 19-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and New York.

Years since qualifying
34
Licensed in
CA, NY
In the registry since
2011
Specialties on file
2
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Practice location Address checks out

123 S Commerce St Ste E
Stockton, CA 95202-2837
Phone: (209) 910-9123
Fax: (209) 288-5300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence A129917 (CA)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 944736 (NY)

Record details

NPI number1891079455
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 30, 2011
Last updated in NPPESOctober 21, 2021
Certification dateOctober 21, 2021
Mailing address2629 Meadowbrook Dr, Santa Clara, CA 95051-1113

Medicare enrollment

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

Medicare specialtyPAIN MANAGEMENT
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Pain Clinics Of Central California, Inc. — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Stockton