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

Stephen Cooley, PA

Individual provider Physician Assistant · NPI 1306304704

Stephen Cooley, PA is a Physician Assistant in Fresno, California. Qualified in 2019, 7 years ago. Practices with Edgar S. Macias, MD, Inc, a 13-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2019
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

7115 N Chestnut Ave Ste 101
Fresno, CA 93720-0361
Phone: (559) 431-2397
Fax: (559) 472-3382
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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 PA56625 (CA)

Record details

NPI number1306304704
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedMarch 5, 2019
Last updated in NPPESMarch 5, 2019
Mailing address7115 N Chestnut Ave Ste 101, Fresno, CA 93720-0361

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Edgar S. Macias, M.D., Inc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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