Individual provider Active NPI

Antoinette Mariano-Sabido, PA-C

  • Physician Assistant
  • Brentwood, CA
National Provider Identifier
1306328323
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
59419 Issued in CA
Practice address
2221 Balfour Rd
Brentwood, CA 94513-4970
Phone
(252) 409-1169
NPI assigned
Sep 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9229 CA
Physician Assistant 363A00000X 9229 GA
Medical Physician Assistant 363AM0700X 093289 IA
Physician Assistant 363A00000X 59419 CA Primary

Addresses

Primary practice location

2221 Balfour Rd
Brentwood, CA 94513-4970

Mailing address

2221 Balfour Rd
Brentwood, CA 94513-4970
Phone (925) 240-9116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190923001025 GA Practitioner - Physician Assistant 7416201793 Reassigns benefits to 1 organization
I20210512000777 CA Practitioner - Physician Assistant 7416201793 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.53 of 100Reported as group
Quality
87.08
Promoting interoperability
100
Improvement activities
40
Cost
69.51

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9229CAMDSpeech-Language Assistant
9229GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Hospitalist Group LLC CurrentSince Oct 15, 2020 Accepting new patients
Stanford Health Care CurrentSince May 1, 2021 Accepting new patients
Stanford Health Care CurrentSince May 1, 2021 Accepting new patients

Locations

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

Organizations & group practices 6

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": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1306328323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 BALFOUR RD",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945134970",
            "telephone_number": "925-240-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 BALFOUR RD",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945134970",
            "telephone_number": "252-409-1169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIANO-SABIDO",
        "first_name": "ANTOINETTE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-06",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "9229",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "9229",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IA",
            "license": "093289",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "59419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, CA

Sources for this page

Verify at the official NPI Registry.