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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. FERNANDO JUAN BUSBY, PA

Active Sole Proprietor

MR. FERNANDO JUAN BUSBY, PA is a Medical Physician Assistant healthcare provider located in GARDEN CITY, Idaho. NPI 1649152992 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · GARDEN CITY, ID

Registration Details

NPI Number
1649152992
Provider Type
Individual
Gender
Male
NPI Issued
Jul 25, 2025 (1.0417695842071 yrs)
Last Updated
Sep 30, 2025
Sole Proprietor
Yes

Practice Information

Address
AUSPEX DIAMOND LLC ST # 2079
9169 W STATE
GARDEN CITY, ID, 83714
Browse ID providers · Browse ZIP 83714
Phone
3044599808
Primary Specialty
Medical Physician Assistant
363AM0700X
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.