Neil Carl Adrian, PA-C
Individual provider Active NPI Physician Assistant · Merced, CA
NPI 1194067728 · NPPES record last updated Mar 22, 2016
Key facts
- NPI
- 1194067728
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA22815 (CA)
- Practice address
- 3180 Collins Dr Ste a
Merced, CA 95348-3156 - Phone
- (209) 349-8429
- Fax
- (209) 720-0193
- NPI assigned
- Mar 21, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Orthospine Advance Health, Inc.
Practice addresses (Care Compare)
330 E Yosemite Ave
Suite 101
Merced, CA 95340-9165
Phone (209) 349-8429
Hospital & facility affiliations
- Mercy Medical Center
- John C Fremont Healthcare District
- Memorial Hospital Los Banos
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.78 of 100
- Quality
- 85.12
- Improvement activities
- 40
- Cost
- 65.78
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 |
|---|---|---|---|---|
| I20130612000438 | CA | Practitioner - Physician Assistant | 5597904169 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA22815 | CA | Yes |
| Medical Physician Assistant | 363AM0700X | |||
| Surgical Physician Assistant | 363AS0400X |
Addresses
Primary practice location
3180 Collins Dr Ste a
Merced, CA 95348-3156
Mailing address
3180 Collins Dr Ste a
Merced, CA 95348-3156
Phone (209) 349-8429
NPI Registry JSON
{
"created_epoch": "1363824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458604800000",
"number": "1194067728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3180 COLLINS DR STE A",
"city": "MERCED",
"state": "CA",
"postal_code": "953483156",
"telephone_number": "209-349-8429",
"fax_number": "209-720-0193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3180 COLLINS DR STE A",
"city": "MERCED",
"state": "CA",
"postal_code": "953483156",
"telephone_number": "209-349-8429",
"fax_number": "209-720-0193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADRIAN",
"first_name": "NEIL",
"middle_name": "CARL",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-21",
"last_updated": "2016-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA22815",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Merced, CA
- Ayomidamope Ruth Adebiyi
- Stella Nwasoka Adesokan
- Nancy Adinolfi
- Adrian Fedele, M.D.
- James Eric Adrian
- Advanced Endoscopy Center Inc
- Advanced Mobility B&G Inc.
- Advanced Spine and Pain Management Inc.
- Aegis Treatment Centers, LLC
- Aegis Treatment Centers, LLC
All providers in Merced, 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 22, 2016. 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.