Individual provider Active NPI

Jennifer Angelie Giraudo, PA-C

  • Medical Physician Assistant
  • Salinas, CA
National Provider Identifier
1245913706
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA63119 Issued in CA
Practice address
45 E San Joaquin St
Salinas, CA 93901-2903
Phone
(831) 424-3300
NPI assigned
Aug 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA63119 CA Primary

Addresses

Primary practice location

45 E San Joaquin St
Salinas, CA 93901-2903

Mailing address

45 E San Joaquin St
Salinas, CA 93901-2903
Phone (831) 424-3300

Other practice location 1

665 Munras Ave Ste 260
Monterey, CA 93940-3137
Phone (831) 644-0900

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230907002544 CA Practitioner - Physician Assistant 7012371107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Coast Allergy and AsthmaGroup PAC ID 8527000397, 6 clinicians

Practice addresses (Care Compare)

45 E San Joaquin St
Salinas, CA 93901-2903
Phone (831) 424-3300

665 Munras Ave
Suite 260
Monterey, CA 93940-3137
Phone (831) 644-0900

Hospital & facility affiliations

  • Salinas Valley Health Medical Center Hospital, Salinas, CA, CCN 050334

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
63119CAMDPharmacist
PA63119CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Central Coast Allergy and Asthma, a Medical Corporartion CurrentSince Aug 21, 2023 Accepting new patients
Central Coast Allergy and Asthma Past Accepting new patients

Locations

665 Munras Ave
Ste 260
Monterey, CA 93940
Phone (831) 644-0900

45 E San Joaquin St
Salinas, CA 93901
Phone (831) 424-3300

Organizations & group practices 2

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1245913706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 E SAN JOAQUIN ST",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939012903",
            "telephone_number": "831-424-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 E SAN JOAQUIN ST",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939012903",
            "telephone_number": "831-424-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "665 Munras Ave Ste 260",
            "address_purpose": "LOCATION",
            "city": "Monterey",
            "state": "CA",
            "postal_code": "939403137",
            "country_code": "US",
            "telephone_number": "831-644-0900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIRAUDO",
        "first_name": "JENNIFER",
        "middle_name": "ANGELIE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA63119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.