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NPI Code Detail

MEDICARE: GUS FRANCA ANDERSON

MEDICARE: GUS FRANCA ANDERSON
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
1225200000XPhysical Therapy Assistant54585CA

General Provider Information

NPI Number : 1043160765
Entity Type Code : Individual
Provider Name (Legal Business Name) : GUS FRANCA ANDERSON
Provider Business Mailing Address
First Line : 5965 E SHIELDS AVE UNIT 155
Second Line :
City : FRESNO
State : CA
Zip : 93727-8059
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5965 E SHIELDS AVE UNIT 155
Second Line :
City : FRESNO
State : CA
Zip : 93727-8059
Country : US
Telephone Number : 209-681-2760
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2026
Last Update Date : 02/02/2026

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