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

Individual provider Medical Physician Assistant · NPI 1730590829

Fred Fombrun, PA-C is a Physician Assistant in Henderson, Nevada. Qualified in 2014, 12 years ago. Practices with Sunrise Mountainview Multispecialty Clinics LLC, a 64-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
12
Licensed in
NV
In the registry since
2014
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

2380 W Horizon Ridge Pkwy Ste 110
Henderson, NV 89052-5078
Phone: (972) 656-0493
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA1527 (NV)

Record details

NPI number1730590829
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 12, 2014
Last updated in NPPESMay 12, 2014

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Sunrise Mountainview Multispecialty Clinics Llc — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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