Individual provider Active NPI

Angelina Lawhead, PA

  • Physician Assistant
  • Folsom, CA
National Provider Identifier
1194606327
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA67873 Issued in CA
Practice address
1580 Creekside Dr Ste 250
Folsom, CA 95630-3889
Phone
(916) 983-8595
Fax
(916) 983-9643
NPI assigned
Sep 12, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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 PA67873 CA Primary

Addresses

Primary practice location

1580 Creekside Dr Ste 250
Folsom, CA 95630-3889

Mailing address

5841 Jameson CT
Carmichael, CA 95608-0895
Phone (916) 485-9800

Other practice location 1

1580 Creekside Dr Ste 200
Folsom, CA 95630-3888
Phone (916) 924-8281

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA67873CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Medical Associates of Sacramento Inc Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1757635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1194606327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5841 JAMESON CT",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080895",
            "telephone_number": "916-485-9800",
            "fax_number": "949-485-9810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 CREEKSIDE DR STE 250",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303889",
            "telephone_number": "916-983-8595",
            "fax_number": "916-983-9643"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1580 CREEKSIDE DR STE 200",
            "address_purpose": "LOCATION",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303888",
            "country_code": "US",
            "telephone_number": "916-924-8281",
            "fax_number": "916-924-8281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAWHEAD",
        "first_name": "ANGELINA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-12",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA67873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.