MR. EDMAN FUENTES PAC
NPI 1013988955
Physician Assistant - Surgical in Sonora, CA
About Mr. Edman Fuentes Pac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. EDMAN FUENTES PAC (NPI 1013988955) is an individual surgical provider in Sonora, California, licensed in California (PA51630) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2002).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Edman Fuentes Pac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SONORA, CA 95370
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Edman Fuentes's NPI number?
The NPI number for Edman Fuentes is 1013988955. It was assigned to this individual provider in the NPPES registry on January 30, 2006.
Where is Edman Fuentes located?
Edman Fuentes practices at 900 Greenley Rd Suite 914, Sonora, CA 95370. The listed phone number is (925) 469-6274.
What is Edman Fuentes's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Edman Fuentes enrolled in Medicare?
Yes. Edman Fuentes is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Edman Fuentes was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Edman Fuentes, PAC · NPI 1013988955
Surgical physician in Sonora, California. Individual provider, active in the CMS NPPES registry since January 30, 2006.
## Identity
- **NPI:** 1013988955 (Entity type: Individual)
- **Enumerated:** January 30, 2006
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** PA51630 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 900 GREENLEY RD, SUITE 914, Sonora, CA 95370-5287
- **Phone:** (925) 469-6274 · **Fax:** (925) 924-1769
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** January 21, 2025
- **Other identifiers:** Other PA9102297 (FL); Other PA51630 (CA); Medicaid 291613400 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1013988955) · Data from the CMS NPPES public registry.