FERNANDO ESPARZA AVILA PA
NPI 1356622708
Physician Assistant in Modesto, CA

Active since August 30, 2011PECOS EnrolledAccepts Medicare Assignment
1114 6TH ST, MODESTO, CA 95354(209) 576-2845(209) 576-8842 Get Directions Write a Review

NPPES record last updated: December 15, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fernando Esparza Avila Pa NPPES

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

FERNANDO ESPARZA AVILA PA (NPI 1356622708) is an individual physician assistant in Modesto, California and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1356622708
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameFERNANDO ESPARZA AVILACredential: PA
Location Address1114 6TH STModesto, CA 95354-2203
Mailing Address737 W Childs AveMerced, CA 95341-6805 · (209) 383-1848 · Fax (209) 383-1296
Fax(209) 576-8842
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateAugust 30, 2011
Last NPPES UpdateDecember 15, 2011
NPI 1356622708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1114 6TH ST, Modesto, CA 95354

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

Fernando Esparza Avila Pa 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.

PECOS PAC ID6608048400
PECOS Enrollment IDI20111019000796
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.

Areas of Expertise CMS Part B claims 8

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.

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
580 services60 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
50 services23 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
30 services28 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
24 services23 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
22 services22 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95354 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
2 suppliers14 claims45 services$5.51 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
1114 6TH ST
MODESTO, CA 95354
Nurse Practitioner
1114 6TH ST
MODESTO, CA 95354
Nurse Practitioner (Family)
1114 6TH ST
MODESTO, CA 95354
Nurse Practitioner (Family)
1114 6TH ST
MODESTO, CA 95354
Social Worker (Clinical)
1114 6TH ST
MODESTO, CA 95354
Obstetrics & Gynecology
1114 6TH ST
MODESTO, CA 95354
Social Worker (Clinical)
1114 6TH ST
MODESTO, CA 95354
Physician Assistant (Medical)
1114 6TH ST
MODESTO, CA 95354

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 Fernando Esparza Avila's NPI number?

The NPI number for Fernando Esparza Avila is 1356622708. It was assigned to this individual provider in the NPPES registry on August 30, 2011.

Where is Fernando Esparza Avila located?

Fernando Esparza Avila practices at 1114 6th St, Modesto, CA 95354. The listed phone number is (209) 576-2845.

What is Fernando Esparza Avila's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Fernando Esparza Avila enrolled in Medicare?

Yes. Fernando Esparza Avila 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 Fernando Esparza Avila was last updated on December 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.