MR. JUAN CONTRERAS (PA-C) – Physician Assistant, NPI 1124064829

MR. JUAN CONTRERAS (PA-C) is a healthcare provider. based in Tulare, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA14734 (CA). The NPI Number for MR. JUAN CONTRERAS (PA-C) is 1124064829

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
MR. JUAN CONTRERAS (PA-C)
NPI
1124064829
Phone
(559) 684-7800
Address
922 W CHERRY ST.
Enumeration Date
21 June 2006
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5596847700
Graduation Year
1998 (28 years ago)
PAC ID
8628094059
Group Practice PAC ID
5193888451
Professional Enrollment ID
I20051014000781
Address ID
CA932742231TU1159XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

10,570 PHYSICIAN ASSISTANT in CA

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Provider Addresses for MR. JUAN CONTRERAS (PA-C)

  • North Cherry Street, Tulare, Tulare County, California, 93274, United States

    SUITE B

    TULARE, CA 93274

    Phone: (559) 684-7800

    Fax: (559) 684-7804

    Type: Mailing

  • 922, North Cherry Street, Tulare, Tulare County, California, 93274, United States

    SUITE B

    TULARE, CA 932742210

    Phone: (559) 684-7800

    Fax: (559) 684-7804

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $31.

Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.

Last reported payment date: 2024-10-11 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($18).

Total Amount

$31

General + Research + Ownership

Payments

2

Total payment records

General Amount

$31

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-10-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051014000781IPhysician AssistantCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 93274)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193888451View full group profile
NameSpecialtyState
Family PracticeCA

Reviews

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Frequently asked questions

Can I verify MR. JUAN CONTRERAS (PA-C) with an NPI only?
You can start verification with NPI 1124064829 for MR. JUAN CONTRERAS (PA-C), then check state licensing separately.
Is MR. JUAN CONTRERAS (PA-C) listed as active for patients and plans?
The listing shows MR. JUAN CONTRERAS (PA-C) as active in the NPI system.
What taxonomy line describes MR. JUAN CONTRERAS (PA-C)?
For research purposes, treat MR. JUAN CONTRERAS (PA-C) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
What area does MR. JUAN CONTRERAS (PA-C) serve?
MR. JUAN CONTRERAS (PA-C)'s listing highlights Tulare, California; more addresses can appear in NPPES.
Why does MR. JUAN CONTRERAS (PA-C) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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