Stephanie Carnes, PA-C
Physician Assistant in Fremont, CA. Individual provider (NPI-1).
NPI number1477065639
StatusActive
Last updated in NPPESDec 29, 2021
Details
- NPI
- 1477065639
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Carnes
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 27, 2017
- Last updated
- Dec 29, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 55094 | CA | Yes |
Practice location
2000 Mowry AveFremont, CA 94538-1716
Phone 510-818-7210 · Fax 510-818-5015
Mailing address
2000 Mowry AveFremont, CA 94538-1716
Phone 510-818-7210 · Fax 510-818-5015
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 73 Physician Assistant providers in Fremont · All 5,684 providers in Fremont
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