Individual provider Active NPI

Alexandre Emmanuel Paquet, PA-C

  • Physician Assistant
  • San Diego, CA
National Provider Identifier
1245308527
Registry record updated Jun 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
53841 Issued in CA
Practice address
7565 Mission Valley Rd Ste 200
San Diego, CA 92108
Phone
(858) 927-5527
NPI assigned
Dec 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 53841 CA Primary
Physician Assistant 363A00000X PA60739073 WA

Addresses

Primary practice location

7565 Mission Valley Rd Ste 200
San Diego, CA 92108

Mailing address

10790 Rancho Bernardo Rd
San Diego, CA 92127-5705
Phone (858) 487-1800

Other practice location 1

270 Rosebay Dr
Encinitas, CA 92024-3342
Phone (760) 840-7886

Other practice location 2

5395 Ruffin Rd Ste 204
San Diego, CA 92123-1338
Phone (858) 571-3630

Other practice location 3

15004 Innovation Dr
San Diego, CA 92128-3491
Phone (858) 487-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161028002051 CA Practitioner - Physician Assistant 7416235296 Reassigns benefits to 1 organization
I20170518002506 WA Practitioner - Physician Assistant 7416235296 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA60739073WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
Scripps Health Physician Assistant Current Accepting new patients
Multicare Health System CurrentSince Apr 1, 2021 Accepting new patients
Scripps Health CurrentSince Jul 1, 2018 Accepting new patients
Scripps Health Current Accepting new patients
Multicare Health System CurrentSince Apr 1, 2021 Accepting new patients
Scripps Health CurrentSince Jul 1, 2018 Accepting new patients
Multicare Health System Physician Assistant Past Accepting new patients

Locations

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

File 54433
Los Angeles, CA 90074
Phone (858) 784-5645

15004 Innovation Dr
San Diego, CA 92128
Phone (858) 487-1800

10790 Rancho Bernardo Rd
#4S205
San Diego, CA 92127
Phone (858) 605-7171

10790 Rancho Bernardo Rd
San Diego, CA 92127
Phone (858) 554-2626

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

15605 E Sprague Ave
Spokane Valley, WA 99037
Phone (509) 590-9483

Interoperability endpoints

  • Direct secure messaging: apaquet79495@scrippshlth.medalliesdirect.net

Organizations & group practices 9

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": "1165017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528675200000",
    "number": "1245308527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10790 RANCHO BERNARDO RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921275705",
            "telephone_number": "858-487-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7565 MISSION VALLEY RD STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92108",
            "telephone_number": "858-927-5527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "270 Rosebay Dr",
            "address_purpose": "LOCATION",
            "city": "Encinitas",
            "state": "CA",
            "postal_code": "920243342",
            "country_code": "US",
            "telephone_number": "760-840-7886",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5395 Ruffin Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921231338",
            "country_code": "US",
            "telephone_number": "858-571-3630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15004 Innovation Dr",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921283491",
            "country_code": "US",
            "telephone_number": "858-487-1800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAQUET",
        "first_name": "ALEXANDRE",
        "middle_name": "EMMANUEL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-02",
        "last_updated": "2018-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "53841",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60739073",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.