Doctor profile · Federal record
Dr. Nisebho Fantaye, PA-C
Physician Assistant · Physician Assistant · Marysville, CA
- NPI 1942875778
- 5 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
726 4Th St
Marysville, CA 959015656
(530) 749-4300 - Additional location
-
1310 Club Dr
Vallejo, CA 945921187
(408) 509-0856
Credentials & registration
- NPI registered
- May 2021 — 5 yrs on file
- Profile last updated
- September 5, 2023
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- California #62852
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1942875778. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
84
Distinct HCPCS
2
Medicare allowed
$9,825
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99284 |
Emergency department visit with moderate level of medical decision making | 55 | 54 | $101 | |
99285 |
Emergency department visit with high level of medical decision making | 29 | 29 | $147 |
In context: peer comparison
Among 7 peers in this city , average services per provider: 41. This provider delivers 2.0× the peer median.Frequently asked questions
What is Dr. Nisebho Fantaye's medical specialty?
Dr. Nisebho Fantaye practices Physician Assistant in Marysville, CA.
Where does Dr. Nisebho Fantaye practice?
Dr. Nisebho Fantaye practices at 726 4Th St, Marysville, CA 959015656. Office phone: 5307494300.
What is Dr. Nisebho Fantaye's NPI?
Dr. Nisebho Fantaye's National Provider Identifier (NPI) is 1942875778, issued by NPPES.
What procedures does Dr. Nisebho Fantaye commonly perform?
Top Medicare-reported procedures in 2023: Emergency department visit with moderate level of medical decision making (HCPCS 99284); Emergency department visit with high level of medical decision making (HCPCS 99285). Source: CMS Medicare Physician & Other Practitioners file.