Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Chantal Angelique Fry, PA

Individual provider Medical Physician Assistant · NPI 1477280006

Chantal Angelique Fry, PA is a Physician Assistant in San Jose, California. Qualified in 2022, 4 years ago. Practices with Sutter Bay Medical Foundation, a 3,762-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2022
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2105 Forest Ave
San Jose, CA 95128-1425
Phone: (408) 947-2500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA61339 (CA)

Record details

NPI number1477280006
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 3, 2022
Last updated in NPPESAugust 3, 2022
Certification dateJuly 18, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Sutter Bay Medical Foundation — 3762 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients25
Services billed 26 a service is one billed item, such as a visit, a test or a procedure
Average patient age69

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Sutter Bay Medical Foundation

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 3762 clinicians in the practice; 12 are shown here.

Other providers in San Jose