Provider Demographics
NPI:1437267424
Name:SANCHEZ, GERARDO OCHOA (PA)
Entity Type:Individual
Prefix:
First Name:GERARDO
Middle Name:OCHOA
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1230 W 24TH ST STE 1
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-6232
Mailing Address - Country:US
Mailing Address - Phone:928-314-3702
Mailing Address - Fax:928-314-4687
Practice Address - Street 1:1230 W 24TH ST STE 1
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-6232
Practice Address - Country:US
Practice Address - Phone:928-314-3702
Practice Address - Fax:928-314-4687
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2011-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ2822363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ130022901OtherRR MEDICARE
AZ0000OtherTRIWEST
AZ793647Medicaid
AZ793647Medicaid
AZ130022901OtherRR MEDICARE