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

Philip M. Da Visio, PA

Individual provider Physician Assistant · NPI 1659380699

Philip M. Da Visio, PA is a Physician Assistant in Stockton, California. Qualified in 2004, 22 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
22
Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

525 W Acacia St
Stockton, CA 95203-2405
Phone: (209) 944-5550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Personal Emergency Response Attendant (primary) Taxonomy 146D00000X · Licence PA17470 (CA)
Physician Assistant Taxonomy 363A00000X · Licence PA17470 (CA)

Record details

NPI number1659380699
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 7, 2006
Last updated in NPPESJanuary 3, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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