Nicole Samila Rosendo, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

55636 Issued in CA

Practice address

7471 N Fresno St
Fresno, CA 93720-2457

Phone

(559) 436-4500

NPI assigned

Jun 20, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Nicole Kristine Samila Former name

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

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baz Allergy Asthma and Sinus Center IncGroup PAC ID 6507770716, 23 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.2 of 100Reported as group

Quality

88.57

Promoting interoperability

96

Improvement activities

40

Cost

75.43

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Baz Allergy, Asthma & Sinus Center, Inc.

  • Allergy Physician
  • Fresno, CA
  • NPI 1710906995
  Medicare reassignment Care Compare group
• Baz Allergy, Asthma & Sinus Center

  • Allergy Physician
  • Clovis, CA
  • NPI 1396328779
  NPD
• Baz Allergy, Asthma & Sinus Center, Inc.

  • Allergy Physician
  • Hanford, CA
  • NPI 1023037108
  NPD

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1144714395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7471 N FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202457",
            "telephone_number": "559-436-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7471 N FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202457",
            "telephone_number": "559-436-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENDO",
        "first_name": "NICOLE",
        "middle_name": "SAMILA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-20",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "55636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "SAMILA",
            "middle_name": "KRISTINE",
            "prefix": "MISS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Madisyn Rae Rose
• Rachel Helene Rose, MD
• Mayra Andrea Rosel-Bucio
• Amanda Noelle Rosen
• Eric Morris Rosen, LMFT 97204
• Jeffrey Rosenfeld, MD
• Shawn Rosenlof, PSY.D.
• Jessica K Rosenquist
• Michael Rosenthal
• Jesse Rosete

• Physician Assistant in Fresno, CA
• Providers in Fresno, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.