Active NPI
Roberto L Assadabadi, P.A.
- Physician Assistant
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA20061
- Practice address
- 3701 J St Ste 201
Sacramento, CA 95816-5542 - Phone
- (916) 454-2345
- NPI assigned
- Dec 17, 2008
- Last updated
- Feb 8, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA20061 | CA | Primary |
Addresses
Primary practice location
3701 J St Ste 201
Sacramento, CA 95816-5542
Mailing address
1860 Howe Ave Ste 440
Sacramento, CA 95825-1098
Phone (916) 569-8484
Other practice location 1
577 Las Palmas Ave
Sacramento, CA 95815-1607
Phone (916) 924-6703
Other practice location 2
101 Bodin Cir
Travis AFB, CA 94535
Phone (707) 423-3735
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA20061 | Other | CA | PHYSICIAN ASSISTANT |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4600 Broadway
Sacramento, CA 95820-1527
Phone (916) 874-9670
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20061 | CA | MD | Occupational Therapist |
| PA20061 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Sacramento | Current | Accepting new patients | |
| County of Sacramento | Current | Accepting new patients | |
| Health for All | Past | Accepting new patients | |
| Health for All, Inc. | Past | Accepting new patients |
Locations
4600 Broadway
Sacramento, CA 95820
Phone (916) 874-9670
4600 Broadway
#1100
Sacramento, CA 95820
Phone (916) 874-9670
Interoperability endpoints
- rassadabadi299791@direct.ochin.org
- rassadabadi837661@wm.providencedirect.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Sacramento County Health Center
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1366513061
-
- Radiology Clinic/Center
- Sacramento, CA
- NPI 1508936030
-
- Specialist
- Sacramento, CA
- NPI 1235175639
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1891705596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644278400000",
"number": "1346486578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1860 HOWE AVE STE 440",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958251098",
"telephone_number": "916-569-8484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 J ST STE 201",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958165542",
"telephone_number": "916-454-2345"
}
],
"practiceLocations": [
{
"address_1": "577 Las Palmas Ave",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958151607",
"country_code": "US",
"telephone_number": "916-924-6703",
"fax_number": "916-263-6981",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 Bodin Cir",
"address_purpose": "LOCATION",
"city": "Travis AFB",
"state": "CA",
"postal_code": "94535",
"country_code": "US",
"telephone_number": "707-423-3735",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ASSADABADI",
"first_name": "ROBERTO",
"middle_name": "L",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-12-17",
"last_updated": "2022-02-08",
"certification_date": "2022-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA20061",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN ASSISTANT",
"identifier": "PA20061",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
- Asp a Professional Clinical Counselor Inc
- Asp a Professional Clinical Counselor Inc (A Shifted Perspective Therapy)
- Aspira Foster & Family Services - Sacramento
- Aspire Public Schools (Aspire NorCal)
- Kathleen L Assaad
- Feroze Assadi
- Assb, LLC
- Danielle Helena Assenza, M.A.
- Assessment and Development Center of Sacramento (ADCSac)
- Assisted Living Options Incorporated
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.