MR. GABRIEL MANUEL BOYD PA NPI 1922035989

NPI Information

NPI: 1922035989
Provider Name: MR. GABRIEL MANUEL BOYD, PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
1630 E HERNDON AVE
FRESNO, CA
ZIP 93720
Phone: (559) 256-5200
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MR. Gabriel Manuel Boyd, PA is a surgical physician assistant in Fresno, CA. MR. Gabriel Manuel Boyd, PA NPI is 1922035989. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1630 E HERNDON AVE
FRESNO, CA
ZIP 93720-305
Phone: (559) 256-5200
Fax: (559) 256-5376

The NPI 1922035989 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/27/2006 and was last updated on 2/20/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	INTERIM LICENSE	CALIFORNIA	No
2	363AS0400X	Physician Assistant	Surgical	PA18487	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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