Individual provider Active NPI

David Goldfarb, PA

  • Physician Assistant
  • Sacramento, CA
National Provider Identifier
1144333642
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA21376 Issued in CA
Practice address
1111 Exposition Blvd BLDG 700
Sacramento, CA 95815-4314
Phone
(916) 736-3399
Fax
(916) 233-4171
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 00003315 FL
Physician Assistant 363A00000X PA21376 CA Primary

Addresses

Primary practice location

1111 Exposition Blvd BLDG 700
Sacramento, CA 95815-4314

Mailing address

1111 Exposition Blvd BLDG 700
Sacramento, CA 95815-4314
Phone (916) 736-3399

Other practice location 1

6600 Mercy Ct Ste 180A
Fair Oaks, CA 95628-3198
Phone (916) 966-2700

Other practice location 2

2 Medical Plaza Dr Ste 225
Roseville, CA 95661-3044
Phone (916) 782-1291

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
I20110218000292 CA Practitioner - Physician Assistant 8628175866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1111 Exposition Blvd
Suite 700
Sacramento, CA 95815-4314

1111 Exposition Blvd BLDG
Suite 700
Sacramento, CA 95815-4314

Merit-based Incentive Payment System (MIPS)

Final score
74.25 of 100Reported as group
Quality
51.19
Promoting interoperability
94
Improvement activities
40
Cost
61.73

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA21376CAMDPhysician Assistant
00003315FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Valley Hospitals Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dgoldfarb222866@hisp.ehr.sutterhealth.org

Organizations & group practices 2

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1144333642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 EXPOSITION BLVD BLDG 700",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154314",
            "telephone_number": "916-736-3399",
            "fax_number": "916-736-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 EXPOSITION BLVD BLDG 700",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154314",
            "telephone_number": "916-736-3399",
            "fax_number": "916-233-4171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6600 Mercy Ct Ste 180A",
            "address_purpose": "LOCATION",
            "city": "Fair Oaks",
            "state": "CA",
            "postal_code": "956283198",
            "country_code": "US",
            "telephone_number": "916-966-2700",
            "fax_number": "916-966-0749",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Medical Plaza Dr Ste 225",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956613044",
            "country_code": "US",
            "telephone_number": "916-782-1291",
            "fax_number": "916-782-5992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDFARB",
        "first_name": "DAVID",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "00003315",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA21376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.