Roxana Infante
Individual provider Active NPI Physician Assistant · Petaluma, CA
NPI 1043854151 · NPPES record last updated Oct 11, 2023
Key facts
- NPI
- 1043854151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 59100 (CA)
- Practice address
- 1179 N McDowell Blvd
Petaluma, CA 94954-6559 - Phone
- (707) 559-7500
- NPI assigned
- Oct 31, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 14
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Petaluma Health Center Inc
Coastal Health Alliance
Practice addresses (Care Compare)
1179 N McDowell Blvd
Petaluma, CA 94954-6559
Phone (707) 559-7500
PO Box
Suite 910
Point Reyes Station, CA 94956-0910
Hospital & facility affiliations
- Petaluma Valley Hospital
- Providence Santa Rosa Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210610001191 | CA | Practitioner - Physician Assistant | 0547660706 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59100 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ole Health | Current |
Accepting new patients | |
| Permanente Medical Group Inc | Current |
Accepting new patients | |
| Permanente Medical Group, Inc | Current |
Accepting new patients | |
| Ole Health | Current |
Accepting new patients | |
| Petaluma Health Center Inc | Past | Accepting new patients |
Locations
1141 Pear Tree Ln
Ste 100
Napa, CA 94558
Phone (707) 254-1778
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
501 J St
Sacramento, CA 95814
Phone (916) 497-3000
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
Interoperability endpoints
- rinfante667315@direct.ochin.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 59100 | CA | Yes |
Addresses
Primary practice location
1179 N McDowell Blvd
Petaluma, CA 94954-6559
Mailing address
1179 N McDowell Blvd
Petaluma, CA 94954-6559
Other providers in Petaluma, CA
- Dahae Hwang
- Ian Offord, DMD, Inc.
- Benjamin R Idarius
- Illume Psychology Incorporated
- Jeffrey Scott Imrie
- Infinity Wellness Center, a Professional Medical Corporation
- Christina Marie Ingenito
- Jared Andrew Ining
- Institute for Health Management Inc
- Arezu Iranipour
All providers in Petaluma, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.