ANGELICA BUENROSTRO PA-C
NPI 1720052418
Physician Assistant - Medical in Modesto, CA

Q: What is Angelica Buenrostro's NPI number?

The NPI number for Angelica Buenrostro is 1720052418. It was assigned to this individual provider in the NPPES registry on February 17, 2006.

Q: What is Angelica Buenrostro's specialty?

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

Active since February 17, 2006PECOS EnrolledAccepts Medicare Assignment

609 E ORANGEBURG AVE STE 201, MODESTO, CA 95350(209) 572-3224(209) 572-4528 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2023, Mar 12, 2019, Jul 24, 2017 (3 updates tracked since 2017).

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About Angelica Buenrostro Pa-c NPPES

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

ANGELICA BUENROSTRO PA-C (NPI 1720052418) is an individual medical provider in Modesto, California, licensed in California (PA18306) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1720052418

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameANGELICA BUENROSTROCredential: PA-C

Location Address609 E ORANGEBURG AVE STE 201Modesto, CA 95350

Mailing Address609 E Orangeburg Ave Ste 201Modesto, CA 95350-5512 · (209) 572-3224 · Fax (209) 572-4528

Phone(209) 572-3224

Fax(209) 572-4528

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateFebruary 17, 2006

Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration

✔ NPI 1720052418 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 · PA18306

609 E ORANGEBURG AVE STE 201, Modesto, CA 95350

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Secondary Practice Locations 2

Location 11860 S Sepulveda BlvdLos Angeles, CA 90025-4314 · Phone (310) 473-5807 · Fax (310) 473-5801

Location 2100 E Valencia Mesa Dr Ste 310Fullerton, CA 92835 · Phone (714) 446-5200 · Fax (714) 446-5181

Other Identifiers 2

Other1068658CA · Nccpa Certification

OtherPA18306CA · Pa 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

Angelica Buenrostro 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 ID4183633670

PECOS Enrollment IDI20060411000523

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.

Other Providers at the Same Location NPPES 5

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

JOEL LOUIS FRAZIER MD

Orthopaedic Surgery (Hand Surgery)