Individual provider Active NPI

Sarah Yuriko Wolff, PA-C

  • Physician Assistant
  • Beverly Hills, CA
National Provider Identifier
1265950448
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
54709 Issued in CA
Practice address
155 N San Vicente Blvd
Beverly Hills, CA 90211-2303
Phone
(310) 870-0400
NPI assigned
Sep 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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 54709 CA Primary

Addresses

Primary practice location

155 N San Vicente Blvd
Beverly Hills, CA 90211-2303

Mailing address

155 N San Vicente Blvd
Beverly Hills, CA 90211-2303
Phone (310) 870-0400

Other practice location 1

390 N Sepulveda Blvd Ste 1000
El Segundo, CA 90245-4401

Other practice location 2

390 N PCH
Suite 1000
El Segundo, CA 90245
Phone (310) 640-9911

Other identifiers 1

IdentifierTypeStateIssuer
54709OtherCACALIFORNIA PHYSICIAN ASSISTANT BOARD

Other names 1

  • Sarah Yuriko Mizuki Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
U.S. Healthworks Medical Group, PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sarah.wolff.1@25843.direct.athenahealth.com

Organizations & group practices 1

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": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1265950448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 N SAN VICENTE BLVD",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112303",
            "telephone_number": "310-870-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N SAN VICENTE BLVD",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112303",
            "telephone_number": "310-870-0400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "390 N Sepulveda Blvd Ste 1000",
            "address_purpose": "LOCATION",
            "city": "El Segundo",
            "state": "CA",
            "postal_code": "902454401",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "390 N PCH",
            "address_2": "Suite 1000",
            "address_purpose": "LOCATION",
            "city": "El Segundo",
            "state": "CA",
            "postal_code": "90245",
            "country_code": "US",
            "telephone_number": "310-640-9911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLFF",
        "first_name": "SARAH",
        "middle_name": "YURIKO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-07",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "54709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA PHYSICIAN ASSISTANT BOARD",
            "identifier": "54709",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "MIZUKI",
            "middle_name": "YURIKO",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.