Individual provider Active NPI

Dimitrios Panagakos, PA-C

  • Physician Assistant
  • San Jose, CA
National Provider Identifier
1316619505
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
59915 Issued in CA
Practice address
1901 Monterey Hwy Ste 10
San Jose, CA 95112-6126
Phone
(408) 477-8080
NPI assigned
Oct 5, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2023

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 59915 CA Primary

Addresses

Primary practice location

1901 Monterey Hwy Ste 10
San Jose, CA 95112-6126

Mailing address

1901 Monterey Hwy Ste 10
San Jose, CA 95112-6126
Phone (408) 477-8080

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
I20220210001379 CA Practitioner - Physician Assistant 9830582097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care of California a Medical CorporationGroup PAC ID 5799854303, 135 clinicians

Practice addresses (Care Compare)

3910 Vista Way
Suite 106
Oceanside, CA 92056-4513
Phone (760) 941-2000

5333 Mission Ctr Rd
Suite 100
San Diego, CA 92108-1347
Phone (619) 295-3355

5810 El Camino Real
Suite a
Carlsbad, CA 92008-8819
Phone (760) 929-8269

740 Nordahl Rd
Suite 131
San Marcos, CA 92069-3545
Phone (760) 432-9000

7590 Miramar Rd
Suite C
San Diego, CA 92126-4232
Phone (858) 549-4255

860 W Valley Pkwy
Suite 150
Escondido, CA 92025-2541
Phone (760) 740-0707

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59915CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care of California, a Medical Corporation CurrentSince Jan 24, 2022 Accepting new patients
American Current Care of California, a Medical Corporation CurrentSince Jan 24, 2022 Accepting new patients

Locations

1800 Westwind Dr
Ste 301
Bakersfield, CA 93301
Phone (661) 327-9617

2555 S East Ave
Fresno, CA 93706
Phone (559) 499-2400

1340 Mitchell Rd
Modesto, CA 95351
Phone (209) 581-9711

25115 Madison Ave
Murrieta, CA 92562
Phone (951) 600-9070

3910 Vista Way
Ste 106
Oceanside, CA 92056
Phone (760) 941-2000

1101 S Milliken Ave
Ste C
Ontario, CA 91761
Phone (909) 390-2799

1851 Lombard St
Ste 100
Oxnard, CA 93030
Phone (805) 983-2234

640 S Placentia Ave
Placentia, CA 92870
Phone (714) 579-7772

2 Connecticut St
San Francisco, CA 94107
Phone (415) 621-5055

1901 Monterey Hwy
Ste 10
San Jose, CA 95112
Phone (408) 477-8080

2587 Merced St
San Leandro, CA 94577
Phone (510) 351-3553

740 Nordahl Rd
Ste 131
San Marcos, CA 92069
Phone (760) 432-9000

988 Walsh Ave
Santa Clara, CA 95050
Phone (408) 988-6868

1221 N Dutton Ave
Santa Rosa, CA 95401
Phone (707) 543-8360

3 S Linden Ave
South San Francisco, CA 94080
Phone (650) 238-1500

3663 Arch Rd
Ste 400
Stockton, CA 95215
Phone (209) 943-2202

21081 S Western Ave
Ste 150
Torrance, CA 90501
Phone (310) 782-3333

3680 Industrial Blvd
Ste 550H
West Sacramento, CA 95691
Phone (916) 373-7575

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Organizations & group practices 3

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": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1316619505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 MONTEREY HWY STE 10",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951126126",
            "telephone_number": "408-477-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 MONTEREY HWY STE 10",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951126126",
            "telephone_number": "408-477-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANAGAKOS",
        "first_name": "DIMITRIOS",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-05",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "59915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.