Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. FIDELITO BOADO AGCAOILI, PA-C
ActiveMR. FIDELITO BOADO AGCAOILI, PA-C is a Physician Assistant healthcare provider located in RIVERSIDE, California. NPI 1225316466 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · RIVERSIDE, CA
Registration Details
- NPI Number
- 1225316466
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 21, 2011 (14.920760109013 yrs)
- Last Updated
- Jul 21, 2011
- License
-
PA-18803 (CA)
Practice Information
- Address
-
4000 14TH STREETSTE. 208RIVERSIDE, CA, 925014136Browse CA providers · Browse ZIP 92501
- Phone
- 9513696191
- Fax
- 9513690304
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in RIVERSIDE, CA
| Name | Credential | NPI |
|---|---|---|
| JENNIFER ESTRADA | PA | 1710982954 |
| NAOMIE DE LA CRUZ NOVELO | PA-C | 1306847728 |
| MS. MICHELLE NIEVES GARCIA | PA-C | 1952396392 |
| MICHAEL ANTHONY ESTRADA | PA | 1275517617 |
| TONY MORALEZ | PA | 1194700658 |
| GENEVIEVE A LONG | PA-C | 1083686901 |
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.