Ganna Baetge, PA-C
Individual provider Active NPI Physician Assistant · Los Altos, CA
NPI 1174883250 · NPPES record last updated Jul 15, 2023
Key facts
- NPI
- 1174883250
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA22115 (CA)
- Practice address
- 827 Altos Oaks Dr Ste 4
Los Altos, CA 94024-5490 - Phone
- (408) 495-5770
- Fax
- (650) 912-1129
- NPI assigned
- May 22, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 12
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Patricia Sitnitsky PC
Practice addresses (Care Compare)
15100 Los Gatos Blvd
Suite 4
Los Gatos, CA 95032-2028
Phone (408) 495-5770
827 Altos Oaks Dr
Suite 4
Los Altos, CA 94024-5490
Phone (408) 495-5770
Hospital & facility affiliations
- South Bay Home Health Care, LLC
- Truemed, Inc
- El Camino Health
- Stanford Health Care
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 |
|---|---|---|---|---|
| I20131118000964 | CA | Practitioner - Physician Assistant | 1456587658 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22115 | CA | MD | Pediatric Dentist |
| PA22115 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carbon Health Primary Care of California PC | Past |
Accepting new patients | |
| El Camino Health Medical Group | Past | Accepting new patients |
Interoperability endpoints
- ganna.baetge@601886991843332.direct.elationemr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA22115 | CA | Yes |
Addresses
Primary practice location
827 Altos Oaks Dr Ste 4
Los Altos, CA 94024-5490
Mailing address
827 Altos Oaks Dr Ste 4
Los Altos, CA 94024-5490
Phone (408) 495-5770
Other providers in Los Altos, CA
- Devin Anne Babat
- Kathleen Babington
- Liane Rachel Bacal
- Back to Health
- Grace E Backhaus
- Teresa Bailey
- Balance Dynamics Physical Therapy Inc
- Glenn Bantigue
- Barbara J. Brandt, PH.D., Inc.
- William Ray Bares
All providers in Los Altos, 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 Jul 15, 2023. 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.