Individual provider Active NPI

Isaiah Engman

  • Physician Assistant
  • Elk Grove, CA
National Provider Identifier
1346063195
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
9933 Nestling Cir
Elk Grove, CA 95757-8217
Phone
(320) 217-9974
NPI assigned
Oct 31, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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 Primary

Addresses

Primary practice location

9933 Nestling Cir
Elk Grove, CA 95757-8217

Mailing address

9933 Nestling Cir
Elk Grove, CA 95757-8217

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
I20260615001340 CA Practitioner - Physician Assistant 1456823103

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Health Physicians NetworkGroup PAC ID 3274580972, shared by 2 NPIs, 628 clinicians

Practice addresses (Care Compare)

1235 W Vine St
Suite 22
Lodi, CA 95240-5144
Phone (209) 334-8520

729 Pauline Court
Sonora, CA 95370
Phone (209) 588-8068

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1346063195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9933 NESTLING CIR",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957578217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9933 NESTLING CIR",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957578217",
            "telephone_number": "320-217-9974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGMAN",
        "first_name": "ISAIAH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-31",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

Verify at the official NPI Registry.