Individual provider Active NPI

Dawnne Karsky, PA

  • Physician Assistant
  • Lodi, CA
National Provider Identifier
1194781393
Registry record updated Oct 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA0292 Issued in NV
Practice address
1235 W Vine St
Suite 22
Lodi, CA 95240-5144
Phone
(209) 339-7435
Fax
(209) 333-3054
NPI assigned
Apr 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9100965 FL
Physician Assistant 363A00000X PA1513 NV
Physician Assistant 363A00000X PA0292 NV Primary

Addresses

Primary practice location

1235 W Vine St
Suite 22
Lodi, CA 95240-5144

Mailing address

Dept 34577
PO Box 39000
San Francisco, CA 94139-0001
Phone (209) 339-7435

Other identifiers 2

IdentifierTypeStateIssuer
Y04FYOtherFLBC/BS
290801800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
52719CAMDMarriage & Family Therapist
PA9100965FLMDPhysician Assistant
PA0292NVMDPhysician Assistant
PA1513NVMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444608000000",
    "number": "1194781393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 34577",
            "address_2": "PO BOX 39000",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941390001",
            "telephone_number": "209-339-7435",
            "fax_number": "209-333-3054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 W VINE ST",
            "address_2": "SUITE 22",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952405144",
            "telephone_number": "209-339-7435",
            "fax_number": "209-333-3054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARSKY",
        "first_name": "DAWNNE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2015-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9100965",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA1513",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA0292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "Y04FY",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "290801800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lodi, CA

Sources for this page

Verify at the official NPI Registry.