Individual provider Active NPI

Gregory Sean Hadfield, PA-C

  • Medical Physician Assistant
  • Lakeport, CA
National Provider Identifier
1285869966
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
P-16311 Issued in CA
Practice address
475 N Forbes St Ste B
Lakeport, CA 95453-4725
Phone
(707) 606-6366
NPI assigned
May 24, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X P-16311 CA Primary

Addresses

Primary practice location

475 N Forbes St Ste B
Lakeport, CA 95453-4725

Mailing address

475 N Forbes St Ste B
Lakeport, CA 95453-4725
Phone (760) 709-1255

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
I20100304000262 CA Practitioner - Physician Assistant 3274678057 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Associates of Sebastopol Medical GroupGroup PAC ID 1052362696, 7 clinicians

Practice addresses (Care Compare)

14709 Lakeshore Dr
Clearlake, CA 95422-8162
Phone (707) 994-8644

6880 Palm Ave
Sebastopol, CA 95472-4270
Phone (707) 823-7628

Hospital & facility affiliations

  • Adventist Health Clearlake Hospital, Clearlake, CA, CCN 051317

Merit-based Incentive Payment System (MIPS)

Final score
84.82 of 100Reported as group
Quality
96.29
Improvement activities
40
Cost
54.36

Merit-based Incentive Payment System (MIPS)

Final score
97.16 of 100Reported as group
Quality
91.91
Improvement activities
40
Cost
79.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
P-16311CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates of Sebastopol Medical Group CurrentSince Aug 9, 2021 Accepting new patients
Lake Dermatology Medical Assoc Inc Past Accepting new patients

Locations

14709 Lakeshore Dr
Clearlake, CA 95422
Phone (707) 994-8644

6880 Palm Ave
Sebastopol, CA 95472
Phone (707) 769-1074

Interoperability endpoints

  • Direct secure messaging: ghadfield@eas.emadirect.md

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": "1243123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1285869966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 N FORBES ST STE B",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954534725",
            "telephone_number": "760-709-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 N FORBES ST STE B",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954534725",
            "telephone_number": "707-606-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADFIELD",
        "first_name": "GREGORY",
        "middle_name": "SEAN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-24",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "P-16311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeport, CA

Sources for this page

Verify at the official NPI Registry.