Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANTONE BRISENO, PA
ActiveANTONE BRISENO, PA is a Physician Assistant healthcare provider located in MCCLOUD, California. NPI 1083800742 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MCCLOUD, CA
Registration Details
- NPI Number
- 1083800742
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 17, 2007 (18.909096192005 yrs)
- Last Updated
- Aug 10, 2017
- License
-
PA17420 (CA)
Practice Information
- Address
-
116 WEST MINNESOTA AVEMCCLOUD, CA, 960571143Browse CA providers · Browse ZIP 96057
- Phone
- 5309642389
- Fax
- 5309643141
- Primary Specialty
-
Physician Assistant
363A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.