Taxonomy Code 363AS0400X(363as0400x)
Surgical Physician Assistant. Providers: 3

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Surgical Physician Assistant Providers

NPI Name Type Address

1851512560

MR. PA-C Jesse Ingram JR.

Individual

9985 Sierra Ave

Fontana, CA

1356548069

PA-C Lisa Bodzio

Individual

9985 Sierra Ave

Fontana, CA

1760594733

MS. P.A.-C. Carlette Spengler Kolesnik

Individual

9961 Sierra Ave

Fontana, CA

How to obtain, renew, or terminate an NPI

Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...

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Taxonomy Code 363AS0400X
Specialization Surgical
Display Name Surgical Physician Assistant
Taxonomy Group Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Classification Physician Assistant
Definition Definition to come...
Effective Date September 30, 2009
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Physician Assistant Codes

Medical Physician Assistant

363AM0700X • providers: 36,490

Physician Assistant

363A00000X • providers: 122,072