Provider Demographics
NPI:1053000794
Name:PANOPIO, ARSENIO DALISAY JR (FNP-C, FNP-BC)
Entity type:Individual
Prefix:MR
First Name:ARSENIO
Middle Name:DALISAY
Last Name:PANOPIO
Suffix:JR
Gender:M
Credentials:FNP-C, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2124 HURON DRIVE
Mailing Address - Street 2:
Mailing Address - City:CONCORD, CA
Mailing Address - State:CA
Mailing Address - Zip Code:94519
Mailing Address - Country:US
Mailing Address - Phone:818-223-1689
Mailing Address - Fax:
Practice Address - Street 1:5311 HOPYARD ROAD
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588
Practice Address - Country:US
Practice Address - Phone:925-202-2478
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-08
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95022526363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily