Miss. Autumn Leci Fornasero, MSPA-C
Miss. Autumn Leci Fornasero, MSPA-C is a Physician Assistant in Brawley, California. Qualified in 2011, 15 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 15
- Licensed in
- CA
- In the registry since
- 2011
Practice location Address checks out
207 W Legion RdBrawley, CA 92227-7780
Phone: (760) 351-3333
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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 PA21802 (CA) |
|---|
Record details
| NPI number | 1124300959 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MSPA-C |
| Sole proprietor | No |
| NPI enumerated | September 19, 2011 |
| Last updated in NPPES | December 6, 2021 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2011 (15 years in practice) |
| Group practice | Southern California Permanente Medical Group — 11242 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Medicare patients and services, 2024
| Medicare patients | 23 |
|---|---|
| Services billed | 30 |
| Average patient age | 73 |
Colleagues at Southern California Permanente Medical Group
- Kehinde Akintunji, NP Family Nurse Practitioner · Lawndale, CA
- Dr. Lauren Y Cao, MD Dermatology Physician · Woodland Hills, CA
- Susan Macias Corey, MD Internal Medicine Physician · Los Angeles, CA
- Dr. Roberta Eimile De Joya, MD Student in an Organized Health Care Education/Training Program · Rancho Mirage, CA
- Jesse Lyon, MD Internal Medicine Physician · LA Mesa, CA
- Eileen C McCann Wang Internal Medicine Physician · Sylmar, CA
- Win Naing, MD Specialist · Bakersfield, CA
- Niloufar Reisian, MD Clinical Medical Laboratory · Orange, CA
- Jenny Chiu Risman, MD, PHD Internal Medicine Physician · Anaheim, CA
- Dr. Khoa Nguyen Tran, MD Diagnostic Radiology Physician · Los Angeles, CA
- Dr. Tung Tran, MD Student in an Organized Health Care Education/Training Program · Woodland Hills, CA
- Xiomara Lizzette Vlahos, MD Family Medicine Physician · Los Angeles, CA
Other providers in Brawley
-
Omayra Montalvo, PA
900 Main St, Brawley, CA 92227-2630 · (760) 344-6471
-
Veronica Montenegro-Jauregui, PHYSICIANASSISTANT
751 W Legion Rd Ste 204, Brawley, CA 92227-7755 · (760) 351-3296
-
Megan Ciera Rodriguez, PA-C
900 Main St, Brawley, CA 92227-2630 · (518) 708-9722
-
Alexandra Taylor
207 W Legion Rd, Brawley, CA 92227-7780 · (760) 351-4495