Provider Demographics
NPI:1609862598
Name:DRAINER, ASUNCION TECSON (PA)
Entity Type:Individual
Prefix:MRS
First Name:ASUNCION
Middle Name:TECSON
Last Name:DRAINER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33255 9TH ST
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94587-2137
Mailing Address - Country:US
Mailing Address - Phone:510-471-5580
Mailing Address - Fax:510-471-9051
Practice Address - Street 1:33255 9TH ST
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:CA
Practice Address - Zip Code:94587-2137
Practice Address - Country:US
Practice Address - Phone:510-471-5580
Practice Address - Fax:510-471-9051
Is Sole Proprietor?:No
Enumeration Date:2005-09-26
Last Update Date:2013-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA12090363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
P79706Medicare UPIN