Jester Mark Callejo Odrunia

Physician Assistant · Sonora, CA

Individual Active NPI

NPI number 1114722592

Practice location

900 Mono Way
Sonora, CA 95370-5229
Phone
(694) 020-9536

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NPI record

NPI
1114722592
Entity type
Individual (Type 1)
Enumeration date
February 18, 2025
Last updated
March 27, 2025
Certified
March 27, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X PA66131 CA

Mailing address

10301 Lake Bracciano Ave
Bakersfield, CA 93311-8216

About Jester Odrunia

Jester Mark Callejo Odrunia is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 900 Mono Way, Sonora, CA 95370-5229. The NPI number 1114722592 was assigned on February 18, 2025 and the record was last updated on March 27, 2025.

Jester Odrunia lists a license in the registry: #PA66131 (CA) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jester Mark Callejo Odrunia?

The NPI number is 1114722592.

What is the phone number of Jester Odrunia?

The phone number listed for the practice location is (694) 020-9536.

Where is Jester Odrunia located?

900 Mono Way, Sonora, CA 95370-5229.

What is the taxonomy code for Jester Odrunia?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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