Individual provider Active NPI

Angelica Maria Ross, PA-C

  • Medical Physician Assistant
  • Santa Ana, CA
National Provider Identifier
1033410717
Registry record updated Nov 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA-21325 Issued in CA
Practice address
1226 N Broadway
Santa Ana, CA 92701-3412
Phone
(714) 825-0940
NPI assigned
Nov 10, 2010
Last updated
Nov 10, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA-21325 CA Primary

Addresses

Primary practice location

1226 N Broadway
Santa Ana, CA 92701-3412

Mailing address

1226 N Broadway
Santa Ana, CA 92701-3412

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
I20110725000417 CA Practitioner - Physician Assistant 9133397839 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1045 N Tustin St
Orange, CA 92867-5904
Phone (714) 288-8303

640 S Placentia Ave
Placentia, CA 92870-6300
Phone (714) 579-7772

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21325CAMDPsychologist
PA-21325CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orange County Urgent Care #3, Inc. CurrentSince Aug 24, 2015 Accepting new patients
American Current Care of California, a Medical Corporation CurrentSince Jun 30, 2014 Accepting new patients
American Current Care of California, a Medical Corporation CurrentSince Jun 30, 2014 Accepting new patients
California Emergency Physicians Past Accepting new patients
Cep America - Auc, PC Past Accepting new patients
Sangamitra Kothapa M D Inc PastSince Jul 20, 2015 Accepting new patients
Smita Soans MD Medical Corporation PastSince Jul 25, 2019 Accepting new patients

Locations

1101 S Anaheim Blvd
Anaheim, CA 92805
Phone (714) 937-1919

1800 Westwind Dr
Ste 301
Bakersfield, CA 93301
Phone (661) 327-9617

2415 E Imperial Hwy
Brea, CA 92821
Phone (714) 255-1640

2555 S East Ave
Fresno, CA 93706
Phone (559) 499-2400

1101 S Milliken Ave
Ste C
Ontario, CA 91761
Phone (909) 390-2799

640 S Placentia Ave
Placentia, CA 92870
Phone (714) 579-7772

2 Connecticut St
San Francisco, CA 94107
Phone (415) 621-5055

2587 Merced St
San Leandro, CA 94577
Phone (510) 351-3553

740 Nordahl Rd
Ste 131
San Marcos, CA 92069
Phone (760) 432-9000

1221 N Dutton Ave
Santa Rosa, CA 95401
Phone (707) 543-8360

3 S Linden Ave
South San Francisco, CA 94080
Phone (650) 238-1500

21081 S Western Ave
Ste 150
Torrance, CA 90501
Phone (310) 782-3333

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Organizations & group practices 8

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": "1289347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289347200000",
    "number": "1033410717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 N BROADWAY",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927013412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 N BROADWAY",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927013412",
            "telephone_number": "714-825-0940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "ANGELICA",
        "middle_name": "MARIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-10",
        "last_updated": "2010-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA-21325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.