Alicia A Afrah-Boateng, PA-C
Individual provider Active NPI Physician Assistant · La Mesa, CA
NPI 1174073886 · NPPES record last updated Mar 24, 2026
Key facts
- NPI
- 1174073886
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA59844 (CA)
- Practice address
- 5525 Grossmont Center Dr
La Mesa, CA 91942-3009 - Phone
- (319) 631-8652
- NPI assigned
- Oct 5, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Sharp Rees-Stealy Medical Group Inc
Practice addresses (Care Compare)
10243 Genetic Ctr Dr
San Diego, CA 92121-6310
Phone (858) 499-2600
10670 Wexford St
San Diego, CA 92131-3940
Phone (858) 621-4002
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.67 of 100
- Quality
- 81.04
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 82.04
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220128000904 | CA | Practitioner - Physician Assistant | 3173865987 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59844 | CA | MD | Dentist |
| PA59844 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sharp Rees-Stealy Medical Group, Inc | Current |
Accepting new patients | |
| Sharp Rees-Stealy Medical Group, Inc | Physician Assistant | Current |
Accepting new patients |
| Sharp Rees-Stealy Medical Center | Past | Accepting new patients |
Locations
5525 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 644-6600
2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500
5651 Copley Dr
Ste A
San Diego, CA 92111
Phone (858) 262-6109
10243 Genetic Center Dr
San Diego, CA 92121
Phone (858) 499-2704
Interoperability endpoints
- aafrahboateng1028244@oc.providencedirect.org
- aafrahboateng65175@sharphealthcare.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA59844 | CA | Yes |
Addresses
Primary practice location
5525 Grossmont Center Dr
La Mesa, CA 91942-3009
Mailing address
5525 Grossmont Center Dr
La Mesa, CA 91942-3009
Phone (619) 800-4179
Other providers in La Mesa, CA
- Adult Home Health Care
- Advance Medical Supply
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- Aesthetic Arts Institute of Plastic Surgery, LLC
- Aethetic Arts Institute of Plastic Surgery,LLC
- Payam Afshar
- Ag la Mesa, LLC
- Sonal Agrawal
- Itzel Aguirre
- Malaz Ahmed
All providers in La Mesa, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.