Individual provider Active NPI

Alexis Fruge, PA-C

  • Physician Assistant
  • Carmichael, CA
National Provider Identifier
1023315702
Registry record updated Feb 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA21316 Issued in CA
Practice address
6555 Coyle Ave
Suite 235
Carmichael, CA 95608-0302
Phone
(916) 200-0087
NPI assigned
Feb 16, 2011
Last updated
Feb 16, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA21316 CA Primary

Addresses

Primary practice location

6555 Coyle Ave
Suite 235
Carmichael, CA 95608-0302

Mailing address

6555 Coyle Ave
Suite 235
Carmichael, CA 95608-0302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170418000252 CA Practitioner - Physician Assistant 5991981243 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA21316CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northern California Orthopaedic Associates Corp CurrentSince Jan 16, 2021 Accepting new patients

Locations

1061 E Main St
Ste 201
Grass Valley, CA 95945
Phone (530) 477-5288

75 Scripps Dr
Sacramento, CA 95825
Phone (916) 512-6262

Interoperability endpoints

  • Direct secure messaging: alexis.fruge.1@9116.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297814400000",
    "number": "1023315702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6555 COYLE AVE",
            "address_2": "SUITE 235",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6555 COYLE AVE",
            "address_2": "SUITE 235",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080302",
            "telephone_number": "916-200-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRUGE",
        "first_name": "ALEXIS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-16",
        "last_updated": "2011-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA21316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

Verify at the official NPI Registry.