Individual provider Active NPI

Sara Ann Poggi, PA-C

  • Physician Assistant
  • Carlsbad, CA
National Provider Identifier
1265119911
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2390 Faraday Ave
Carlsbad, CA 92008-7216
Phone
(858) 909-0770
NPI assigned
Jul 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

2390 Faraday Ave
Carlsbad, CA 92008-7216

Mailing address

PO Box 2534
Vineyard Haven, MA 02568-0922
Phone (774) 521-9886

Other practice location 1

577 Third Ave
Chula Vista, CA 91910-5619
Phone (619) 426-5181

Other practice location 2

39755 Date St Ste 105
Murrieta, CA 92563-2007
Phone (951) 461-0770

Other practice location 3

5405 Oberlin Dr Fl 2
San Diego, CA 92121-1700
Phone (858) 909-0770

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
I20231211002853 CA Practitioner - Physician Assistant 6103275516 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
Telehealth
Offers telehealth services
Group practices
Ritvik Mehta MD ApcGroup PAC ID 8022163286, 12 clinicians

Practice addresses (Care Compare)

2390 Faraday Ave
Carlsbad, CA 92008-7216
Phone (858) 909-0770

39755 Date St
Suite 105
Murrieta, CA 92563-2007
Phone (951) 461-0770

5405 Oberlin Dr
FL 2
San Diego, CA 92121-1700
Phone (858) 909-0770

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
63126CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Carlos F Jimenez, MD Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

NPI Registry JSON

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1265119911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2534",
            "city": "VINEYARD HAVEN",
            "state": "MA",
            "postal_code": "025680922",
            "telephone_number": "774-521-9886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 FARADAY AVE",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920087216",
            "telephone_number": "858-909-0770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "577 Third Ave",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919105619",
            "country_code": "US",
            "telephone_number": "619-426-5181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "39755 Date St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Murrieta",
            "state": "CA",
            "postal_code": "925632007",
            "country_code": "US",
            "telephone_number": "951-461-0770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5405 Oberlin Dr Fl 2",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921211700",
            "country_code": "US",
            "telephone_number": "858-909-0770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POGGI",
        "first_name": "SARA",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-03",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

Verify at the official NPI Registry.