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

Mr. Angel Pemayun Anak-Agung-Gede, PA-C

Individual provider Physician Assistant · NPI 1356675037

Mr. Angel Pemayun Anak-Agung-Gede, PA-C is a Physician Assistant in San Diego, California. Qualified in 2007, 19 years ago. Practices with William C Eves M D Inc, a 4-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
19
Licensed in
CA
In the registry since
2009
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

5717 Pacific Center Blvd Ste 200
San Diego, CA 92121-4250
Phone: (858) 859-1188
Fax: (844) 404-8924
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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 PA19498 (CA)

Record details

NPI number1356675037
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 28, 2009
Last updated in NPPESMay 8, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice William C Eves M D Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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