Individual provider Active NPI

Sharon A Roth, PA-C

  • Medical Physician Assistant
  • San Francisco, CA
National Provider Identifier
1134538192
Registry record updated Sep 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
51728 Issued in CA
Practice address
2410 California St
San Francisco, CA 94115-2681
Phone
(415) 529-4050
Fax
(415) 291-0489
NPI assigned
Aug 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2016

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 51728 CA Primary

Addresses

Primary practice location

2410 California St
San Francisco, CA 94115-2681

Mailing address

2410 California St
Attn: Credentialing
San Francisco, CA 94115-2681
Phone (415) 529-4050

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
I20161201002133 CA Practitioner - Physician Assistant 7719284959 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51728CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
One Medical Group, Inc CurrentSince Nov 7, 2016 Accepting new patients
One Medical Group, Inc. CurrentSince Nov 7, 2016 Accepting new patients
City & County of San Francisco CurrentSince Apr 23, 2019 Accepting new patients
City and County of San Francisco CurrentSince Apr 23, 2019 Accepting new patients

Locations

2410 California St
San Francisco, CA 94115
Phone (415) 529-4050

559 Clay St
#200
San Francisco, CA 94111
Phone (415) 830-4744

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

1001 Potrero Ave
Bldg 20
San Francisco, CA 94110
Phone (415) 206-8524

Interoperability endpoints

  • Direct secure messaging: sharon.rothpa.p1@direct.ppnorcal.nextgenshare.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.

NPI Registry JSON

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1134538192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 CALIFORNIA ST",
            "address_2": "ATTN: CREDENTIALING",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152681",
            "telephone_number": "415-529-4050",
            "fax_number": "415-291-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 CALIFORNIA ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152681",
            "telephone_number": "415-529-4050",
            "fax_number": "415-291-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "SHARON",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-04",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "51728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.