Healthcare Provider Details

I. General information

NPI: 1538341557
Provider Name (Legal Business Name): CLAUDIA ANDREA FERRADA-MASIA P.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2007
Last Update Date: 03/24/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 DELBON AVE
TURLOCK CA
95382-2016
US

IV. Provider business mailing address

180 VIA VERDE STE 100
SAN DIMAS CA
91773-3993
US

V. Phone/Fax

Practice location:
  • Phone: 209-667-4200
  • Fax: 626-447-6057
Mailing address:
  • Phone: 626-447-0296
  • Fax: 626-447-6057

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA19371
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: