NPI 1487725693 · live from the CMS NPI Registry
Redentor Bacani, PA-C
Physician Assistant, Medical in Highland, CA. National Provider Identifier 1487725693, active.
NPI record
| NPI | 1487725693 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 7000 Boulder Ave, Highland, CA 92346 |
| Practice phone | 909-403-6499 |
| Enumerated | November 10, 2006 |
| Last updated | March 20, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 62670 (CA) |
| Physician Assistant, Medical primary | 363AM0700X | 814 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.