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

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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. (2 clinicians)

Practice addresses (Care Compare)

330 E Yosemite Ave
Suite 101
Merced, CA 95340-9165
Phone (209) 349-8429

Hospital & facility affiliations

  • Mercy Medical Center Hospital · Merced, CA · CCN 050444
  • John C Fremont Healthcare District Hospital · Mariposa, CA · CCN 051304
  • Memorial Hospital Los Banos Hospital · Los Banos, CA · CCN 050528

Merit-based Incentive Payment System (MIPS)

Final score
88.78 of 100 (group)
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 IDStateProvider typePAC IDDetails
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)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 22, 2016.

{
    "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

All providers in Merced, CA · Physician Assistant in California

Sources for this page

Verify at the official NPI Registry.