Active NPI
Henry W Pratt, P.A.
- Physician Assistant
- Atwater, CA
National Provider Identifier
1356334056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 15097
- Practice address
- 3605 Hospital Rd
Suite M
Atwater, CA 95301-5173 - Phone
- (209) 383-5500
- Fax
- (209) 383-6910
- NPI assigned
- Aug 26, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA 15097 | CA | |
| Physician Assistant | 363A00000X | 15097 | CA | Primary |
Addresses
Primary practice location
3605 Hospital Rd
Suite M
Atwater, CA 95301-5173
Mailing address
PO Box 3768
Merced, CA 95344-3768
Phone (209) 725-7149
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA15097 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15097 | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Merced Faculty Associates Medical Group Incorporated | Past | Accepting new patients | |
| Merced Faculty Associates Medical Group Incorporated | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- Atwater, CA
- NPI 1215189477
-
- Family Medicine Physician
- Merced, CA
- NPI 1285623256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487116800000",
"number": "1356334056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3768",
"city": "MERCED",
"state": "CA",
"postal_code": "953443768",
"telephone_number": "209-725-7149",
"fax_number": "209-726-0134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3605 HOSPITAL RD",
"address_2": "SUITE M",
"city": "ATWATER",
"state": "CA",
"postal_code": "953015173",
"telephone_number": "209-383-5500",
"fax_number": "209-383-6910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRATT",
"first_name": "HENRY",
"middle_name": "W",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-26",
"last_updated": "2017-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA 15097",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "15097",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PA15097",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Atwater, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.