Provider Demographics
NPI:1609030683
Name:BURANDAY, JASON AQUINO (PA-C)
Entity type:Individual
Prefix:MR
First Name:JASON
Middle Name:AQUINO
Last Name:BURANDAY
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:860 OAK PARK BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ARROYO GRANDE
Mailing Address - State:CA
Mailing Address - Zip Code:93420-1800
Mailing Address - Country:US
Mailing Address - Phone:805-481-3685
Mailing Address - Fax:805-481-5245
Practice Address - Street 1:860 OAK PARK BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:ARROYO GRANDE
Practice Address - State:CA
Practice Address - Zip Code:93420-1800
Practice Address - Country:US
Practice Address - Phone:805-481-3685
Practice Address - Fax:805-481-5245
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-18
Last Update Date:2021-12-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAPA19820363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant