Individual provider Active NPI

Stephen Jacob Pasquini, PA

  • Physician Assistant
  • Santa Cruz, CA
National Provider Identifier
1265418826
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA17531 Issued in CA
Practice address
115A Coral St
Santa Cruz, CA 95060-2131
Phone
(831) 454-2080
Fax
(831) 454-3424
NPI assigned
Dec 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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 PA17531 CA Primary

Addresses

Primary practice location

115A Coral St
Santa Cruz, CA 95060-2131

Mailing address

467 El Camino Real
Greenfield, CA 93927-4915
Phone (831) 674-0112

Other practice location 1

467 El Camino Real
Greenfield, CA 93927-4915
Phone (831) 674-0112

Other practice location 2

1080 Emeline Ave
Santa Cruz, CA 95060-1966
Phone (831) 454-4100

Other identifiers 1

IdentifierTypeStateIssuer
PA175310MedicaidCA

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
I20041220001060 CA Practitioner - Physician Assistant 3072571207 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of Santa CruzGroup PAC ID 7618872912, shared by 4 NPIs, 65 clinicians

Practice addresses (Care Compare)

1080 Emeline
Santa Cruz, CA 95060-1966

1080 Emeline Ave
Santa Cruz, CA 95060-1966
Phone (831) 454-5401

115 A Coral St
Santa Cruz, CA 95060-2131
Phone (831) 454-2080

1430 Freedom Blvd
Suite D
Watsonville, CA 95076-2752
Phone (831) 763-8400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA17531CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Cruz CurrentSince Sep 1, 2018 Accepting new patients
County of Santa Cruz Past Accepting new patients

Locations

1080 Emeline Ave
Bldg D
Santa Cruz, CA 95060
Phone (831) 454-4000

115A Coral St
Santa Cruz, CA 95060
Phone (831) 454-2080

1080 Emeline Ave
Santa Cruz, CA 95060
Phone (831) 454-4100

1430 Freedom Blvd
Ste D
Watsonville, CA 95076
Phone (831) 763-8400

Interoperability endpoints

  • Direct secure messaging: spasquini243845@direct.ochin.org

Organizations & group practices 5

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 1

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": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1265418826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 EL CAMINO REAL",
            "city": "GREENFIELD",
            "state": "CA",
            "postal_code": "939274915",
            "telephone_number": "831-674-0112",
            "fax_number": "831-674-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115A CORAL ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950602131",
            "telephone_number": "831-454-2080",
            "fax_number": "831-454-3424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "467 El Camino Real",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "CA",
            "postal_code": "939274915",
            "country_code": "US",
            "telephone_number": "831-674-0112",
            "fax_number": "831-674-4199",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1080 Emeline Ave",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950601966",
            "country_code": "US",
            "telephone_number": "831-454-4100",
            "fax_number": "831-454-4488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PASQUINI",
        "first_name": "STEPHEN",
        "middle_name": "JACOB",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA17531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA175310",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.