Mr. Edman Fuentes, PAC
Mr. Edman Fuentes, PAC is a Physician Assistant in Sonora, California. Qualified in 2002, 24 years ago. Practices with Portercare Adventist Health System, a 767-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and Colorado.
- Years since qualifying
- 24
- Licensed in
- CA, CO
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- PAC — Physician Assistant, Certified
- A physician assistant holding current national certification; usually written PA-C.
Practice location Address checks out
900 Greenley Rd Ste 914Sonora, CA 95370-5287
Phone: (925) 469-6274
Fax: (925) 924-1769
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence PA51630 (CA) |
|---|---|
| Surgical Physician Assistant | Taxonomy 363AS0400X · Licence PA.008727 (CO) |
Record details
| NPI number | 1013988955 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PAC |
| Sole proprietor | No |
| NPI enumerated | January 30, 2006 |
| Last updated in NPPES | January 21, 2025 |
| Certification date | January 21, 2025 |
| Mailing address | 5725 W Las Positas Blvd, Suite 200, Pleasanton, CA 94588-4054 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2002 (24 years in practice) |
| Group practice | Portercare Adventist Health System — 767 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 7 on file with Medicare |
Other providers in Sonora
-
Mrs. Stephanie Pike McDonald, PA
680 Guzzi Ln Ste 105, Sonora, CA 95370-5288 · (209) 532-0126
-
Andrew Tyler Suess, PA
680 Guzzi Ln Ste 102, Sonora, CA 95370-5288 · (209) 536-5780