Individual provider Active NPI

Alana Suzanne Yahiro Leibowitz

  • Physician Assistant
  • Walnut Creek, CA
National Provider Identifier
1073925640
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA17250 Issued in CA
Practice address
110 Tampico Ste 210
Walnut Creek, CA 94598-2962
Phone
(925) 935-6952
Fax
(925) 935-1396
NPI assigned
May 29, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Fertility Facility 261QA0006X PA 17250 CA
Physician Assistant 363A00000X PA17250 CA Primary

Addresses

Primary practice location

110 Tampico Ste 210
Walnut Creek, CA 94598-2962

Mailing address

110 Tampico Ste 210
Walnut Creek, CA 94598-2962
Phone (925) 935-6952

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
I20200710000265 CA Practitioner - Physician Assistant 9931522885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
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)

110 Tampico
Suite 210
Walnut Creek, CA 94598-2962
Phone (925) 290-7061

1505 Saint Alphonsus Way
Alamo, CA 94507-1570
Phone (925) 932-6330

Hospital & facility affiliations

  • John Muir Medical Center - Walnut Creek Campus Hospital, Walnut Creek, CA, CCN 050180
  • John Muir Medical Center - Concord Campus Hospital, Concord, CA, CCN 050496

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA 17250CAMDAmbulatory Fertility Facility
PA17250CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bass Medical Group CurrentSince Jul 20, 2020 Accepting new patients
Bass Medical Group CurrentSince Jul 20, 2020 Accepting new patients
Bass Medical Group Past Accepting new patients
Bass Medical Group Past Accepting new patients
Bass Medical Group Past Accepting new patients

Locations

1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225

110 Tampico
Ste 210
Walnut Creek, CA 94598
Phone (925) 935-6952

Interoperability endpoints

  • Direct secure messaging: ayahiroleibowitz137048@ehr.johnmuirhealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1401321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1073925640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 TAMPICO STE 210",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982962",
            "telephone_number": "925-935-6952",
            "fax_number": "925-935-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 TAMPICO STE 210",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982962",
            "telephone_number": "925-935-6952",
            "fax_number": "925-935-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAHIRO LEIBOWITZ",
        "first_name": "ALANA SUZANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-29",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QA0006X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Fertility Facility",
            "state": "CA",
            "license": "PA 17250",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA17250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.