Elizabeth L. Redick, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA10702 Issued in CA

Practice address

2250 Morello Ave
Pleasant Hill, CA 94523-1860

Phone

(925) 287-1256

Fax

(925) 287-0913

NPI assigned

Jun 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eredick71338@ehr.johnmuirhealth.com

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.

• Bass Medical Group

  • Obstetrics & Gynecology Physician
  • Walnut Creek, CA
  • NPI 1174253405
  Medicare reassignment NPD (past)
• Bass Medical Group

  • Orthopaedic Surgery Physician
  • Antioch, CA
  • NPI 1396124574
  NPD
• Bass Medical Group

  • Orthopaedic Surgery Physician
  • San Ramon, CA
  • NPI 1467329904
  NPD
• Bass Medical Group

  • Specialist
  • Walnut Creek, CA
  • NPI 1154401941
  NPD (past)
• John M. Grollmus, M.D., Inc.

  • Neurological Surgery Physician
  • Santa Rosa, CA
  • NPI 1851337380
  NPD (past)

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1255377008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 MORELLO AVE",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945231860",
            "telephone_number": "925-287-1256",
            "fax_number": "925-287-0913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 MORELLO AVE",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945231860",
            "telephone_number": "925-287-1256",
            "fax_number": "925-287-0913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "990 Sonoma Ave",
            "address_2": "Ste. 20 &21",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954044802",
            "country_code": "US",
            "telephone_number": "707-525-0696",
            "fax_number": "707-525-8404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDICK",
        "first_name": "ELIZABETH",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA10702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LINC #",
            "identifier": "PA10702",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Medical Physician Assistant in Pleasant Hill, CA
• Providers in Pleasant Hill, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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.

Verify at the official NPI Registry.