MICHAEL J WREN P.A.-C NPI 1275689192

NPI Information

  • NPI: 1275689192
  • Provider Name: MICHAEL J WREN, P.A.-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2823 FRESNO ST
    FRESNO, CA
    ZIP 93721
  • Phone: (559) 459-4268

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NPI Details

Michael J Wren, P.A.-C is a surgical physician assistant in Fresno, CA with 21 years of experience. Michael J Wren, P.A.-C NPI is 1275689192. 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:

2823 FRESNO ST
FRESNO, CA
ZIP 93721-324
Phone: (559) 459-4268
Fax: (559) 459-3553

The NPI 1275689192 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 1/25/2007 and was last updated on 12/30/2021.

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
1363A00000XPhysician AssistantPA17765CALIFORNIANo
2363AS0400XPhysician AssistantSurgicalPA17765CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1OPA177650OTHERCALIFORNIABLUE SHIELD OF CALIFORNIA

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: 3/30/2025

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