MEDICARE: JOHN ANTHONY NUNGARAY

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	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1720869647
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN ANTHONY NUNGARAY

Provider Business Mailing Address
First Line	:	2713 S NORFOLK ST APT 203
Second Line	:
City	:	SAN MATEO
State	:	CA
Zip	:	94403-1601
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2713 S NORFOLK ST APT 203
Second Line	:
City	:	SAN MATEO
State	:	CA
Zip	:	94403-1601
Country	:	US
Telephone Number	:	619-792-8643
Fax Number	:

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

Provider Enumeration Date	:	10/06/2023
Last Update Date	:	10/06/2023

Similar Medicare Providers

1831794254 — ALLYSON FLORESA SY MS, RD
Practice Location Address:

2713 S NORFOLK ST APT 311
SAN MATEO, CA
94403-1601

Practice Phone: 650-243-7744
Practice Fax:

1649101015 — AMANDA ALCALA
Practice Location Address:

1601 TURK ST
SAN FRANCISCO, CA
94115-4527

Practice Phone: 415-749-3509
Practice Fax:

1720917594 — DR. ARMANDO MIGUEL RUIZ MD
Practice Location Address:

1601 PRECISION PARK LN
SAN DIEGO, CA
92173-1345

Practice Phone: 619-662-4100
Practice Fax:

1831028273 — MICHAEL HOYUN KIM
Practice Location Address:

1601 PRECISION PARK LN
SAN DIEGO, CA
92173-1345

Practice Phone: 619-662-4100
Practice Fax:

1841127230 — ALEC JOSEPH CALAC MD, PHD
Practice Location Address:

1601 PRECISION PARK LN
SAN DIEGO, CA
92173-1345

Practice Phone: 619-662-4100
Practice Fax:

1316940372 — DONALD L. WILLIS M.D.
Practice Location Address:

1601 REDWOOD RD , STE A
SAN MARCOS, TX
78666-1423

Practice Phone: 512-396-4400
Practice Fax: 512-396-4403

Directions to “ JOHN ANTHONY NUNGARAY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.