Mr. Wade Garret Fueconcillo
Mr. Wade Garret Fueconcillo is a Physician Assistant in Colton, California. Qualified in 2018, 8 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 8
- Licensed in
- CA
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
400 N Pepper AveColton, CA 92324-1801
Phone: (909) 580-1775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|---|
| Orthopaedic Surgery Physician | Taxonomy 207X00000X · Licence PA55900 (CA) |
Record details
| NPI number | 1912496423 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 10, 2018 |
| Last updated in NPPES | December 6, 2021 |
| Certification date | August 4, 2020 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | Southern California Permanente Medical Group — 11242 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 6 on file with Medicare |
Practises at
- Kaiser Foundation Hospital - Orange County - Anaheim Hospital · Anaheim, CA
Colleagues at Southern California Permanente Medical Group
- Brittany Nicole Cormier Occupational Therapist · Rancho Cucamonga, CA
- Richard Qi Zhi Loi Diagnostic Radiology Physician · Torrance, CA
- John Mekail, MD Internal Medicine Physician · Philadelphia, PA
- Mia Raquel Montoya, MD Student in an Organized Health Care Education/Training Program · San Bernardino, CA
- Nisha Nalamala, MD Student in an Organized Health Care Education/Training Program · Fresno, CA
- Karen Pacheco Behavior Technician · San Antonio, TX
- Mari Kristine Go Pasicolan, FNP Family Nurse Practitioner · Alhambra, CA
- Byron Rastegari, DO Internal Medicine Physician · Downey, CA
- Zahoor Sadiq, DO Family Medicine Physician · Fontana, CA
- Dr. Richard Tran, DPT Physical Therapist · Henderson, NV
- Robert Yousif, MD Student in an Organized Health Care Education/Training Program · Riverside, CA
- Carolyn Zin, MD Pediatrics Physician · Pensacola, FL
Other providers in Colton
-
Arrowback Medical Group
900 E Washington St Ste 100, Colton, CA 92324-7111 · (909) 433-3200
-
Richard A Biama, MD
900 E Washington St Ste 200, Colton, CA 92324-4192 · (909) 882-5867
-
Faculty Physicians and Surgeons of Llusm
900 E Washington St Ste 200, Colton, CA 92324-4192 · (909) 558-4000
-
Milton Kenneth Mudge, MD
400 N Pepper Ave Orthopaedic Administration, Colton, CA 92324-1801 · (909) 580-6330
-
Dr. David Ruckle, MD
400 N Pepper Ave Mob 205, Colton, CA 92324 · (909) 580-1000
-
University Spine and Orthopedics
900 E Washington St Ste 100, Colton, CA 92324-7111 · (909) 433-3200
-
David Lyman Wood, MD
900 E Washington St Ste 100, Colton, CA 92324-7111 · (909) 433-3200