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FESTUS IDAHOSA-ERESE PHYSICIAN ASSISTANT
NPI 1871503342
Physician Assistant in Barstow, CA

Active since August 08, 2006PECOS Enrolled
716 E MAIN ST, BARSTOW, CA 92311(760) 953-8059 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Festus Idahosa-erese Physician Assistant NPPES

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

FESTUS IDAHOSA-ERESE PHYSICIAN ASSISTANT (NPI 1871503342) is an individual physician assistant in Barstow, California, licensed in California (C14079) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871503342
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameFESTUS IDAHOSA-ERESECredential: PHYSICIAN ASSISTANT
Location Address716 E MAIN STBarstow, CA 92311-2354
Mailing AddressPo Box 487Barstow, CA 92312-0487 · (760) 953-8059
Phone(760) 953-8059
Sole ProprietorNo
Enumeration DateAugust 8, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1871503342 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 · C14079
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.
716 E MAIN ST, Barstow, CA 92311
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Other Identifiers 1

OtherC1584129CA · Driver's License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Festus Idahosa-erese Physician Assistant 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 92311 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.

Other Providers at the Same Location NPPES 3

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

MAITHRI N. WEERASINGHE MD INC
Family Medicine
716 E MAIN ST
BARSTOW, CA 92311
San Bernardino County (760) 256-6426
POOPAL SIVANANDA MD
Internal Medicine
716 E MAIN ST
BARSTOW, CA 92311
San Bernardino County (760) 953-8059
MIKEL ANGELO ALWIS M.D.
Family Medicine
716 E MAIN ST
BARSTOW, CA 92311
San Bernardino County (760) 256-6426

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 Festus Idahosa-erese's NPI number?

The NPI number for Festus Idahosa-erese is 1871503342. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is Festus Idahosa-erese located?

Festus Idahosa-erese practices at 716 E Main St, Barstow, CA 92311. The listed phone number is (760) 953-8059.

What is Festus Idahosa-erese's specialty?

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

Is Festus Idahosa-erese enrolled in Medicare?

Yes. Festus Idahosa-erese is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Festus Idahosa-erese was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.