Individual provider Active NPI

Alyssa Sahu, PA

  • Physician Assistant
  • San Mateo, CA
National Provider Identifier
1154100568
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
29 Baywood Ave
San Mateo, CA 94402-1516
Phone
(650) 235-7940
NPI assigned
Sep 25, 2023
Last updated
Nov 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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 NU Primary

Addresses

Primary practice location

29 Baywood Ave
San Mateo, CA 94402-1516

Mailing address

29 Baywood Ave
San Mateo, CA 94402-1516

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
I20240112002142 CA Practitioner - Physician Assistant 4385092980 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood Mar Monte, Inc. CurrentSince Dec 4, 2023 Accepting new patients
Planned Parenthood Mar Monte Inc. CurrentSince Dec 4, 2023 Accepting new patients
Planned Parenthood Mar Monte, Inc Current Accepting new patients
Planned Parenthood Mar Monte, Inc Current Accepting new patients
Reproductive Medicine Associates of Northern California Past Accepting new patients

Locations

2500 California St
Ste A
Mountain View, CA 94040
Phone (408) 795-3600

2907 El Camino Real
Redwood City, CA 94061
Phone (650) 235-7940

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1154100568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 BAYWOOD AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944021516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 BAYWOOD AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944021516",
            "telephone_number": "650-235-7940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAHU",
        "first_name": "ALYSSA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.