Sherry Rose Hytrek, PA-C
Individual provider Active NPI Physician Assistant · Long Beach, CA
NPI 1265648372 · NPPES record last updated Mar 31, 2016
Key facts
- NPI
- 1265648372
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA11122 (CA)
- Practice address
- 2801 Atlantic Ave
Ranch House #C
Long Beach, CA 90806-1701 - Phone
- (562) 933-8590
- Fax
- (562) 933-8093
- NPI assigned
- May 15, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- University of Nebraska College of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pediatric Infectology Group Inc
Practice addresses (Care Compare)
2801 Atlantic Ave
Long Beach, CA 90806-1701
Phone (714) 377-6993
Hospital & facility affiliations
- Memorial Care Miller Children'S & Women'S Hosp LB
- Memorialcare Long Beach Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221115002738 | CA | Practitioner - Physician Assistant | 7719355197 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA11122 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Infectology Group, Inc. | Current |
Accepting new patients |
Locations
2801 Atlantic Ave
#C
Long Beach, CA 90806
Phone (562) 933-8590
2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000
Interoperability endpoints
- shytrekpa16369@direct.memorialcare.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA11122 | CA | Yes |
Addresses
Primary practice location
2801 Atlantic Ave
Ranch House #C
Long Beach, CA 90806-1701
Mailing address
6020 E. Marita Street
Long Beach, CA 90815
Phone (562) 598-7940
Other providers in Long Beach, CA
- Allison C Hy
- Tara Hyde
- Adriana Hymovitz
- Hyperintelligence,LLC
- Ashley Nicole Hyppolite
- James Y Hyun
- Hyung T Kim DDS Inc.
- Andrew Hyvonen
- I See Optometry
- I Zak DDS Prof Dental Corp
All providers in Long Beach, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.