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

Macayla Josephine Ponce

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063975308

Macayla Josephine Ponce is a Student in an Organized Health Care Education/Training Program in Fairfield, California. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
3

Practice location Address checks out

4820 Business Center Dr Ste 110
Fairfield, CA 94534-1907
Phone: (707) 703-5075
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1063975308
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 12, 2019
Last updated in NPPESSeptember 14, 2025
Certification dateSeptember 14, 2025
Mailing address4820 Business Center Dr Ste 110, Fairfield, CA 94534-1907

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