MEDICARE: MRS. AZUCENA BAROCIO PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	PA 18679	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PA 18679	OTHER	CA	PHYSICIAN ASSISTANT COMMITTEE

General Provider Information

NPI Number	:	1255421186
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AZUCENA BAROCIO PA-C

Provider Business Mailing Address
First Line	:	1660 SAN PABLO AVE STE A
Second Line	:
City	:	PINOLE
State	:	CA
Zip	:	94564-2072
Country	:	US
Telephone Number	:	925-685-4224
Fax Number	:	925-685-6997

Provider Business Practice Location Address
First Line	:	1660 SAN PABLO AVE STE A
Second Line	:
City	:	PINOLE
State	:	CA
Zip	:	94564-2072
Country	:	US
Telephone Number	:	925-685-4224
Fax Number	:	925-685-6997

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/13/2006
Last Update Date	:	03/06/2026

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