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EDWARD MENACHO PA
NPI 1760036958
Physician Assistant in San Bernardino, CA

Active since July 26, 2019PECOS Enrolled
1845 BUSINESS CENTER DR STE 102, SAN BERNARDINO, CA 92408(909) 957-9921 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 30, 2025, Jul 16, 2024, Jun 25, 2024 and 3 more (6 updates tracked since 2019).

About Edward Menacho Pa NPPES

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

EDWARD MENACHO PA (NPI 1760036958) is an individual physician assistant in San Bernardino, California, licensed in California (57027) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760036958
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameEDWARD MENACHOCredential: PA
Location Address1845 BUSINESS CENTER DR STE 102San Bernardino, CA 92408-3447
Mailing AddressPo Box 31309Los Angeles, CA 90031-0309 · (323) 442-5900
Phone(909) 957-9921
Sole ProprietorNo
Enumeration DateJuly 26, 2019
Last NPPES UpdateJune 30, 20256 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
✔ NPI 1760036958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 57027
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.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA2900 (NV)
1845 BUSINESS CENTER DR STE 102, San Bernardino, CA 92408
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edward Menacho 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92408 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

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 Edward Menacho's NPI number?

The NPI number for Edward Menacho is 1760036958. It was assigned to this individual provider in the NPPES registry on July 26, 2019.

Where is Edward Menacho located?

Edward Menacho practices at 1845 Business Center Dr Ste 102, San Bernardino, CA 92408. The listed phone number is (909) 957-9921.

What is Edward Menacho's specialty?

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

Is Edward Menacho enrolled in Medicare?

Yes. Edward Menacho is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Edward Menacho was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.