Individual provider Active NPI

Shaun Partlow, PA-C

  • Physician Assistant
  • Sacramento, CA
National Provider Identifier
1285654038
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA15293 Issued in CA
Practice address
630 Bercut Dr Ste C
Sacramento, CA 95811-0110
Phone
(510) 970-5140
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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 PA15293 CA Primary

Addresses

Primary practice location

630 Bercut Dr Ste C
Sacramento, CA 95811-0110

Mailing address

3780 Rosin CT Ste 110
Sacramento, CA 95834-1698
Phone (916) 441-0226

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
I20040503001651 CA Practitioner - Physician Assistant 4486642014 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.74 of 100Reported as group
Quality
94
Promoting interoperability
92
Improvement activities
40
Cost
65.12

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vituity Hospitalists PC CurrentSince Apr 15, 2020 Accepting new patients
Cep America - Psychiatry PC CurrentSince Dec 1, 2020 Accepting new patients
Cep America-California CurrentSince May 17, 2004 Accepting new patients
Cep America - Auc PC CurrentSince Mar 2, 2020 Accepting new patients
Cep America - Psychiatry PC CurrentSince Dec 1, 2020 Accepting new patients

Locations

2540 East St
Concord, CA 94520
Phone (925) 674-2228

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

900 Hyde St
San Francisco, CA 94109
Phone (415) 353-6000

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

2700 NW Stewart Pkwy
Roseburg, OR 97471
Phone (541) 673-0611

Organizations & group practices 9

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1285654038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3780 ROSIN CT STE 110",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341698",
            "telephone_number": "916-441-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 BERCUT DR STE C",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958110110",
            "telephone_number": "510-970-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARTLOW",
        "first_name": "SHAUN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA15293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.