Individual provider Active NPI

Nicholas Woods, PA-C

  • Physician Assistant
  • Greenbrae, CA
National Provider Identifier
1043012834
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA67367 Issued in CA
Practice address
1000 S Eliseo Dr Ste 103
Greenbrae, CA 94904-2150
Phone
(415) 461-9770
NPI assigned
Mar 25, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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 PA67367 CA Primary

Addresses

Primary practice location

1000 S Eliseo Dr Ste 103
Greenbrae, CA 94904-2150

Mailing address

1000 S Eliseo Dr Ste 103
Greenbrae, CA 94904-2150
Phone (415) 461-9770

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
I20260206001795 CA Practitioner - Physician Assistant 4082193354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of California, Davis School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bass Medical GroupGroup PAC ID 9032111281, 292 clinicians

Practice addresses (Care Compare)

1000 S Eliseo Dr
Suite 103
Greenbrae, CA 94904-2150
Phone 41546197702150

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA67367CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bass Medical Group CurrentSince Feb 2, 2026 Accepting new patients
Bass Medical Group CurrentSince Feb 2, 2026 Accepting new patients
Bass Medical Group Past Accepting new patients

Locations

1000 S Eliseo Dr
Ste 103
Greenbrae, CA 94904
Phone (415) 461-9770

4 Financial Plz
Napa, CA 94558
Phone (707) 266-7051

365 Lennon Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 627-3424

Organizations & group practices 3

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1742860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1043012834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S ELISEO DR STE 103",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042150",
            "telephone_number": "415-461-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S ELISEO DR STE 103",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042150",
            "telephone_number": "415-461-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "NICHOLAS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-25",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA67367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbrae, CA

Sources for this page

Verify at the official NPI Registry.