SAMUELA FANUA JR. PA
NPI 1518539196
Physician Assistant in Stockton, CA

Active since July 13, 2021PECOS EnrolledAccepts Medicare Assignment
415 E HARDING WAY STE D, STOCKTON, CA 95204(209) 944-5750(209) 464-2684 Get Directions Write a Review

NPPES record last updated: August 19, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 19, 2022, Jul 10, 2022, Jul 13, 2021 (3 updates tracked since 2021).

About Samuela Fanua Jr. Pa NPPES

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

SAMUELA FANUA JR. PA (NPI 1518539196) is an individual physician assistant in Stockton, California and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1518539196
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSAMUELA FANUA JR.Credential: PA
Location Address415 E HARDING WAY STE DStockton, CA 95204-6118
Mailing Address2968 Yorktown CtMarina, CA 93933-4938
Fax(209) 464-2684
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 13, 2021
Last NPPES UpdateAugust 19, 20223 updates tracked since enumeration
NPPES CertifiedAugust 17, 2022
NPI 1518539196 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.

415 E HARDING WAY STE D, Stockton, CA 95204

Secondary Practice Locations 2

Location 11148 Norman Dr Ste 3Manteca, CA 95336-5961 · Phone (209) 824-1555 · Fax (209) 464-2684
Location 21530 N Bessie Drive, Suite 101Tracy, CA 95376-3080 · Phone (209) 944-5750 · Fax (209) 464-2684

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

Samuela Fanua Jr. 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 ID1254716814
PECOS Enrollment IDI20220916003106
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 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
133 services122 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
57 services56 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
50 services50 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
47 services43 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
39 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95204 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.

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner
415 E HARDING WAY STE D
STOCKTON, CA 95204
Internal Medicine (Interventional Cardiology)
415 E HARDING WAY STE D
STOCKTON, CA 95204
Nurse Practitioner (Family)
415 E HARDING WAY STE D
STOCKTON, CA 95204
Internal Medicine (Interventional Cardiology)
415 E HARDING WAY STE D
STOCKTON, CA 95204
Internal Medicine (Interventional Cardiology)
415 E HARDING WAY STE D
STOCKTON, CA 95204
Internal Medicine
415 E HARDING WAY STE D
STOCKTON, CA 95204

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 Samuela Fanua's NPI number?

The NPI number for Samuela Fanua is 1518539196. It was assigned to this individual provider in the NPPES registry on July 13, 2021.

Where is Samuela Fanua located?

Samuela Fanua practices at 415 E Harding Way Ste D, Stockton, CA 95204. The listed phone number is (209) 944-5750.

What is Samuela Fanua's specialty?

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

Is Samuela Fanua enrolled in Medicare?

Yes. Samuela Fanua 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 Samuela Fanua was last updated on August 19, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.