Individual provider Active NPI

Haley Gurley

  • Physician Assistant
  • Sacramento, CA
National Provider Identifier
1346915824
Registry record updated May 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA60258 Issued in CA
Practice address
3800 Florin Rd
Sacramento, CA 95823-1802
Phone
(916) 341-0575
NPI assigned
Aug 16, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2024

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 PA60258 CA Primary

Addresses

Primary practice location

3800 Florin Rd
Sacramento, CA 95823-1802

Mailing address

3800 Florin Rd
Sacramento, CA 95823-1802
Phone (916) 341-0575

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
I20230725003580 CA Practitioner - Physician Assistant 9234529439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Sacramento Native American Health Center IncGroup PAC ID 2365547023, 13 clinicians

Practice addresses (Care Compare)

2020 J St
Sacramento, CA 95811-3120
Phone (916) 341-0575

3800 Florin Rd
Sacramento, CA 95823-1802
Phone (916) 341-0575

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60258CAMDOral and Maxillofacial Surgery (Dentist)
PA60258CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sacramento Native American Health Center, Inc. PastSince May 12, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: haley.gurley.p1@direct.snahc.nextgenshare.com

Organizations & group practices 2

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": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714867200000",
    "number": "1346915824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 FLORIN RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958231802",
            "telephone_number": "916-341-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 FLORIN RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958231802",
            "telephone_number": "916-341-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURLEY",
        "first_name": "HALEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2024-05-05",
        "certification_date": "2024-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA60258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.