Provider Demographics
NPI:1386710531
Name:BUGARIN, MARIA (PAC)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:BUGARIN
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
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Mailing Address - Street 1:2050 S BLOSSER RD
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93458-7310
Mailing Address - Country:US
Mailing Address - Phone:805-361-8028
Mailing Address - Fax:805-361-8097
Practice Address - Street 1:221 W FIR AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93611-0223
Practice Address - Country:US
Practice Address - Phone:559-299-7294
Practice Address - Fax:559-299-0641
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2018-09-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAPAC 14796363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant