Physician Assistant
Mr. ANGEL ANAK-AGUNG-GEDE PA-C
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1356675037 · enumerated 2009-09-28 · record updated 2019-05-08. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 5717 PACIFIC CENTER BLVD STE 200, SAN DIEGO, CA, 92121-4250 (858) 859-1188 Fax (844) 404-8924 Google Maps Apple Maps OpenStreetMap
- Mailing address 5717 PACIFIC CENTER BLVD STE 200, SAN DIEGO, CA, 92121-4250 (858) 859-1188 Fax (844) 404-8924 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · Primary · License PA19498 CA
In this directory
Locations and evidence
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Practice location
SAN DIEGO, CA, 921214250
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.