Individual provider Active NPI

Savannah Marie Muise, PA

  • Medical Physician Assistant
  • Orinda, CA
National Provider Identifier
1053169144
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA66994 Issued in CA
Practice address
15 Altarinda Rd Ste 100
Orinda, CA 94563-2607
Phone
(925) 253-1199
NPI assigned
May 13, 2024
Last updated
Oct 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA66994 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

15 Altarinda Rd Ste 100
Orinda, CA 94563-2607

Mailing address

179 N 700 W
Provo, UT 84601-2650
Phone (403) 915-3975

Other practice location 1

1800 Novell Pl
Provo, UT 84606-6171
Phone (801) 375-5125

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
I20251023002373 CA Practitioner - Physician Assistant 2062900798 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - CaliforniaGroup PAC ID 6103739131, 1,278 clinicians

Practice addresses (Care Compare)

27200 Calaroga Ave
Hayward, CA 94545-4339
Phone (510) 264-4026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA66994CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California Current Accepting new patients
UCSF Health Medical Foundation CurrentSince Nov 1, 2025 Accepting new patients
Rocky Mountain University of Health Professions Foundation CurrentSince May 1, 2024 Accepting new patients
Cep America - California CurrentSince Oct 15, 2025 Accepting new patients
Cep America-California CurrentSince Oct 15, 2025 Accepting new patients

Locations

27200 Calaroga Ave
Hayward, CA 94545
Phone (510) 264-2000

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

570 Price Ave
Ste 100
Redwood City, CA 94063
Phone (650) 327-1258

1081 Market Pl
Ste 500
San Ramon, CA 94583
Phone (669) 235-4188

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

1800 Novell Pl
Provo, UT 84606
Phone (801) 375-5125

Interoperability endpoints

  • Direct secure messaging: smuise448323@direct-ucsfmedicalcenter.org

Organizations & group practices 5

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": "1715558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1053169144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 N 700 W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846012650",
            "telephone_number": "403-915-3975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 ALTARINDA RD STE 100",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "945632607",
            "telephone_number": "925-253-1199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Novell Pl",
            "address_purpose": "LOCATION",
            "city": "Provo",
            "state": "UT",
            "postal_code": "846066171",
            "country_code": "US",
            "telephone_number": "801-375-5125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUISE",
        "first_name": "SAVANNAH",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-13",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA66994",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orinda, CA

Sources for this page

Verify at the official NPI Registry.