Jester Mark Callejo Odrunia
NPI 1114722592ActiveIndividual· Physician Assistant· Sonora, CA
Physician Assistant with Sonora Community Hospital, practicing in Sonora, California. Enrolled in Medicare as practitioner - physician assistant. Lists Adventist Health Sonora and 1 other hospital as hospital affiliations.
Overview
| NPI | 1114722592 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Feb 18, 2025 |
| Last updated in NPPES | Mar 27, 2025 |
| Certified by provider | Mar 27, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA66131 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (CA) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Sonora Community HospitalSonora, CA · 133 clinicians
Hospital affiliations
- Adventist Health SonoraSonora, CA
- Mark Twain Medical CenterSan Andreas, CA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other physician assistants in Sonora
- 1326704651
- 1730196130
- 1548685175
- 1003264359
- 1669447819
- 1609062132
- 1881430569
- 1316863640
- 1588641351