Active NPI
Theresa Sivers-Teixeira, PA-C
- Medical Physician Assistant
- Pasadena, CA
National Provider Identifier
1235551995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA23192
- Practice address
- 625 South Fair Oaks, #400
Pasadena, CA 91105 - Phone
- (626) 568-1622
- Fax
- (626) 865-9560
- NPI assigned
- Jan 15, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 23192 | CA | |
| Medical Physician Assistant | 363AM0700X | PA23192 | CA | Primary |
Addresses
Primary practice location
625 South Fair Oaks, #400
Pasadena, CA 91105
Mailing address
PO Box 31309
Los Angeles, CA 90031-0309
Phone (323) 442-5900
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | theresa.sivers-teixeira@direct.usc.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA23192 | CA | MD | Medical Physician Assistant |
| 23192 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Los Angeles Auditor Controller | Current | Accepting new patients | |
| Usc Care Medical Group, Inc | Current | Accepting new patients | |
| Usc Care Medical Group, Inc | Current | Accepting new patients | |
| County of Los Angeles | Current | Accepting new patients |
Locations
1000 S Fremont Ave
Unit 22
Alhambra, CA 91803
Phone (213) 364-9847
7601 Imperial Hwy
Downey, CA 90242
Phone (310) 940-8111
1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849
625 S Fair Oaks Ave
Ste 400
Pasadena, CA 91105
Phone (626) 568-1622
Organizations & group practices 6
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.
-
- General Practice Physician
- Los Angeles, CA
- NPI 1902846306
-
- Internal Medicine Physician
- Huntington Beach, CA
- NPI 1922777259
-
- General Acute Care Hospital
- Torrance, CA
- NPI 1851363188
-
- Clinic/Center
- Los Angeles, CA
- NPI 1295407401
-
- Physician Assistant
- Downey, CA
- NPI 1528162229
-
- Durable Medical Equipment & Medical Supplies
- Pasadena, CA
- NPI 1427937390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1235551995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31309",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900310309",
"telephone_number": "323-442-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 SOUTH FAIR OAKS, #400",
"city": "PASADENA",
"state": "CA",
"postal_code": "91105",
"telephone_number": "626-568-1622",
"fax_number": "626-865-9560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIVERS-TEIXEIRA",
"first_name": "THERESA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-15",
"last_updated": "2023-11-27",
"certification_date": "2020-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "23192",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA23192",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "theresa.sivers-teixeira@direct.usc.edu",
"affiliation": "Y",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "625 south Fair Oaks, #400",
"city": "Pasadena",
"state": "CA",
"country_code": "US",
"postal_code": "91105",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.