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ROBERT R FAJARDO PA
NPI 1194789750
Physician Assistant - Medical in Redlands, CA

Active since April 12, 2006PECOS Enrolled
2 W. FERN AVE., REDLANDS, CA 92373(909) 793-3311(909) 307-9469 Get Directions Write a Review

NPPES record last updated: February 25, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Robert R Fajardo Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT R FAJARDO PA (NPI 1194789750) is an individual medical provider in Redlands, California, licensed in California (PA10610) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194789750
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameROBERT R FAJARDOCredential: PA
Location Address2 W. FERN AVE.Redlands, CA 92373-5916
Mailing AddressP.o. Box 2200Redlands, CA 92373-0722 · (909) 793-3311
Phone(909) 793-3311
Fax(909) 307-9469
Sole ProprietorNo
Enumeration DateApril 12, 2006
Last NPPES UpdateFebruary 25, 2009
✔ NPI 1194789750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · PA10610
2 W. FERN AVE., Redlands, CA 92373
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Other Identifiers 1

Medicare UPINQ07076CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert R Fajardo Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Robert Fajardo's NPI number?

The NPI number for Robert Fajardo is 1194789750. It was assigned to this individual provider in the NPPES registry on April 12, 2006.

Where is Robert Fajardo located?

Robert Fajardo practices at 2 W. Fern Ave., Redlands, CA 92373. The listed phone number is (909) 793-3311.

What is Robert Fajardo's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Robert Fajardo enrolled in Medicare?

Yes. Robert Fajardo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Robert Fajardo was last updated on February 25, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.