Individual provider Active NPI

Cristian M Popescu, PA-C

  • Physician Assistant
  • Folsom, CA
National Provider Identifier
1073273777
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1550 Iron Point Rd Apt 122
Folsom, CA 95630-7804
Phone
(815) 739-3365
NPI assigned
Dec 21, 2021
Last updated
Dec 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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 NU Primary

Addresses

Primary practice location

1550 Iron Point Rd Apt 122
Folsom, CA 95630-7804

Mailing address

1550 Iron Point Rd Apt 122
Folsom, CA 95630-7804
Phone (815) 739-3365

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
I20221024000278 CA Practitioner - Physician Assistant 7315313996 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berman Skin Institute Medical Group IncGroup PAC ID 0042407215, 26 clinicians

Practice addresses (Care Compare)

1792 Tribute Rd
Suite 200
Sacramento, CA 95815-4320
Phone (916) 772-0200

3581 Palmer Dr
Suite 203
Cameron Park, CA 95682-8237
Phone (530) 676-0119

4300 El Camino Real
Suite 100
Los Altos, CA 94022-1090
Phone (650) 325-6000

5575 W Las Positas Blvd
Suite 220
Pleasanton, CA 94588-5802
Phone (925) 416-1122

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Scott B Hearth, MD Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cpopescu@directaddress.net

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, 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": "1640044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1073273777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 IRON POINT RD APT 122",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956307804",
            "telephone_number": "815-739-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 IRON POINT RD APT 122",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956307804",
            "telephone_number": "815-739-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPESCU",
        "first_name": "CRISTIAN",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-21",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

Verify at the official NPI Registry.