Individual provider Active NPI

Nohra Rebecca Adams, P.A., MPH

  • Medical Physician Assistant
  • San Jose, CA
National Provider Identifier
1093887622
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA 18287 Issued in CA
Practice address
5440 Thornwood Dr
San Jose, CA 95123-1217
Phone
(408) 281-9777
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA 18287 CA Primary

Addresses

Primary practice location

5440 Thornwood Dr
San Jose, CA 95123-1217

Mailing address

101 E San Fernando St Apt 123
San Jose, CA 95112-7444
Phone (209) 324-3907

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA 18287CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood Mar Monte, Inc CurrentSince Jan 18, 2009 Accepting new patients
Planned Parenthood Mar Monte Inc. Current Accepting new patients
Planned Parenthood Mar Monte, Inc Current Accepting new patients
Planned Parenthood Mar Monte, Inc. CurrentSince Jan 18, 2009 Accepting new patients
Quick Gyno Physician Assistant, Inc Current Accepting new patients
Planned Parenthood Mar Monte, Inc Past Accepting new patients
Planned Parenthood Mar Monte, Inc Past Accepting new patients

Locations

1691 The Alameda
San Jose, CA 95126
Phone (408) 287-7526

5440 Thornwood Dr
Ste G
San Jose, CA 95123
Phone (408) 281-9777

Interoperability endpoints

  • Direct secure messaging: nohra.adams@815997809065988.direct.elationemr.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093887622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E SAN FERNANDO ST APT 123",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951127444",
            "telephone_number": "209-324-3907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 THORNWOOD DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951231217",
            "telephone_number": "408-281-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "NOHRA",
        "middle_name": "REBECCA",
        "name_prefix": "Ms.",
        "credential": "P.A., MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA 18287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.