MR. ANGEL PEMAYUN ANAK-AGUNG-GEDE PA-C
NPI 1356675037
Physician Assistant in San Diego, CA

Q: What is Angel Anak-agung-gede's NPI number?

The NPI number for Angel Anak-agung-gede is 1356675037. It was assigned to this individual provider in the NPPES registry on September 28, 2009.

Q: What is Angel Anak-agung-gede's specialty?

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

Active since September 28, 2009PECOS EnrolledAccepts Medicare Assignment

5717 PACIFIC CENTER BLVD STE 200, SAN DIEGO, CA 92121(858) 859-1188(844) 404-8924 Get Directions Write a Review

NPPES record last updated: May 8, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 8, 2019, Dec 20, 2016 (2 updates tracked since 2016).

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About Mr. Angel Pemayun Anak-agung-gede Pa-c NPPES

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

MR. ANGEL PEMAYUN ANAK-AGUNG-GEDE PA-C (NPI 1356675037) is an individual physician assistant in San Diego, California, licensed in California (PA19498) and active in the NPI registry since September 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1356675037

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. ANGEL PEMAYUN ANAK-AGUNG-GEDECredential: PA-C

Location Address5717 PACIFIC CENTER BLVD STE 200San Diego, CA 92121-4250

Mailing Address5717 Pacific Center Blvd Ste 200San Diego, CA 92121-4250 · (858) 859-1188 · Fax (844) 404-8924

Phone(858) 859-1188

Fax(844) 404-8924

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateSeptember 28, 2009

Last NPPES UpdateMay 8, 20192 updates tracked since enumeration

✔ NPI 1356675037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CA · PA19498

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.

5717 PACIFIC CENTER BLVD STE 200, San Diego, CA 92121

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Other Identifiers 1

Other19498CA · State License

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. Angel Pemayun Anak-agung-gede Pa-c 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 ID1850565458

PECOS Enrollment IDI20111116000807

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 6

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.

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

136 services76 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

84 services57 patients

Complete ultrasound scan of joint 76881

A complete ultrasound scan of a joint is a non-invasive procedure using sound waves to create images of your joint. It helps identify problems like inflammation, injury, or disease. It's painless, safe, and doesn't involve radiation.

81 services56 patients

Limited ultrasound scan of joint or other extremity structure except blood vessels 76882

A limited ultrasound scan of a joint or other extremity structure lacking blood vessels is a non-invasive procedure that uses sound waves to create images of the inside of your body. This helps in diagnosing and monitoring conditions related to your joints or other similar structures.

73 services39 patients

Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose J7321

Hyaluronan or derivatives like Hyalgan, Supartz, or Visco-3, are used in intra-articular injections for joint pain relief. They help by improving joint lubrication, reducing inflammation, and promoting tissue healing. Each dose is administered directly into the joint space.

60 services29 patients

Ultrasonic guidance for needle placement 76942

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

16 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92121 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

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.

Other Providers at the Same Location NPPES 19

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

GINGER R LUCERO PA-C

Physician Assistant