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

Micah Pinasco

Individual provider Nurse Practitioner · NPI 1679196133

Micah Pinasco is a Nurse Practitioner in Clovis, California. Qualified in 2019, 7 years ago. Practices with Saint Agnes Medical Foundation, a 162-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

604 N Magnolia Ave Ste 100
Clovis, CA 93611-9205
Phone: (559) 320-0531
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95014565 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 95014565 (CA)

Record details

NPI number1679196133
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 19, 2020
Last updated in NPPESSeptember 29, 2020
Certification dateSeptember 29, 2020
Mailing address2625 E Divisadero St, Fresno, CA 93721-1431

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Saint Agnes Medical Foundation — 162 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Clovis