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NPI Code Detail

MEDICARE: LUPE BARBARA PACHECO P.A.

MEDICARE: LUPE BARBARA PACHECO P.A.
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
1363A00000XPhysician Assistant15380CA
2363A00000XPhysician Assistant0110009228VA

General Provider Information

NPI Number : 1043460645
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUPE BARBARA PACHECO P.A.
Provider Business Mailing Address
First Line : 751 LOMBARDI CT STE C
Second Line :
City : SANTA ROSA
State : CA
Zip : 95407-6793
Country : US
Telephone Number : 707-547-2220
Fax Number : 707-547-2229
Provider Business Practice Location Address
First Line : 14163 MIDLOTHIAN TPKE
Second Line :
City : MIDLOTHIAN
State : VA
Zip : 23113-6523
Country : US
Telephone Number : 804-893-8702
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2008
Last Update Date : 06/12/2025

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Directions to “ LUPE BARBARA PACHECO P.A.” Practice Location

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