Individual provider Active NPI

Paterson Rene, PA-C

  • Physician Assistant
  • Richmond, CA
National Provider Identifier
1124467659
Registry record updated Jul 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA23037 Issued in CA
Practice address
2600 Macdonald Ave
Richmond, CA 94804-1826
Phone
(510) 233-2514
NPI assigned
Jun 18, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2016

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 PA23037 CA Primary

Addresses

Primary practice location

2600 Macdonald Ave
Richmond, CA 94804-1826

Mailing address

2600 Macdonald Ave
Richmond, CA 94804-1826
Phone (510) 233-2514

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
I20151218001932 CA Practitioner - Physician Assistant 6103127030 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
UCSF Medical Group Business ServicesGroup PAC ID 3779497870, 1,533 clinicians

Practice addresses (Care Compare)

400 Parnassus Ave
San Francisco, CA 94143-2202

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000

521 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA23037CAMDPhysician Assistant
23037CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Medical Group Business Services CurrentSince Apr 9, 2021 Accepting new patients
University of California San Francisco CurrentSince Apr 9, 2021 Accepting new patients
University of California San Francisco CurrentSince Apr 9, 2021 Accepting new patients
UCSF Health Community Hospitals Past Accepting new patients
UCSF Health Community Hospitals Past Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

2600 Macdonald Ave
#B
Richmond, CA 94804
Phone (610) 918-4122

150 Harbour Way
Richmond, CA 94801
Phone (510) 237-9537

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
Fl 3
San Francisco, CA 94143
Phone (415) 353-2739

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

1199 Bush St
Ste 400
San Francisco, CA 94109
Phone (415) 379-2980

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

2023 Vale Rd
San Pablo, CA 94806
Phone (510) 215-9092

300 Hospital Dr
Vallejo, CA 94589
Phone (707) 554-4107

Interoperability endpoints

  • Direct secure messaging: prene175664@direct-ucsfmedicalcenter.org
  • Direct secure messaging: prene281010@direct.ochin.org

Organizations & group practices 12

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": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469404800000",
    "number": "1124467659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 MACDONALD AVE",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948041826",
            "telephone_number": "510-233-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 MACDONALD AVE",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948041826",
            "telephone_number": "510-233-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENE",
        "first_name": "PATERSON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-18",
        "last_updated": "2016-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA23037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, CA

Sources for this page

Verify at the official NPI Registry.