Mr Jeremiah David Sisco-asencio Ii, is a
Licensed Vocational Nurse based in Fresno, California. Mr Jeremiah David Sisco-asencio Ii is licensed to practice in California (license number 225561) and his current practice location is
4411 E Kings Canyon Rd # 319, Fresno, California. He can be reached at his office (for appointments etc.) via phone at
(559) 600-2382.
NPI number for Mr Jeremiah David Sisco-asencio Ii is 1083098859 and his current mailing address is 3433 W Shaw Ave, Fresno, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083098859.
Healthcare Provider's Profile
Full Name | Mr Jeremiah David Sisco-asencio Ii |
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Gender | Male |
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Speciality | Licensed Vocational Nurse |
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Location | 4411 E Kings Canyon Rd # 319, Fresno, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1083098859
- Provider Enumeration Date: 07/12/2015
- Last Update Date: 01/05/2023
Medical Identifiers
Medical identifiers for Mr Jeremiah David Sisco-asencio Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083098859 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 225561 (California) | Secondary |
164X00000X | Licensed Vocational Nurse | 225561 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jeremiah David Sisco-asencio Ii is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Jeremiah David Sisco-asencio Ii, 3433 W Shaw Ave, Fresno, CA 93711-3229 Ph: (559) 558-4051 | Mr Jeremiah David Sisco-asencio Ii, 4411 E Kings Canyon Rd # 319, Fresno, CA 93702-3604 Ph: (559) 600-2382 |
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