Individual provider Active NPI

Rhiarose Magbitang Dec, PA

  • Surgical Physician Assistant
  • Novato, CA
National Provider Identifier
1356410880
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
22186 Issued in CA
Practice address
7100 Redwood Blvd
Suite 200
Novato, CA 94945-4110
Phone
(858) 361-1441
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 22186 CA Primary

Addresses

Primary practice location

7100 Redwood Blvd
Suite 200
Novato, CA 94945-4110

Mailing address

3819 Divisadero St
#2
San Francisco, CA 94123-1079
Phone (858) 361-1441

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
I20121012000009 CA Practitioner - Physician Assistant 9638118946

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3819 Divisadero St
Apt 2
San Francisco, CA 94123-1051

3819 Divisadero St Apt
Suite 2
San Francisco, CA 94123-1051

5901 W Century Blvd
Suite 750
Los Angeles, CA 90045-5443

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rocket Physician Assistant Corp Surgical CurrentSince Sep 15, 2012 Accepting new patients

Locations

845 Jackson St
San Francisco, CA 94133
Phone (415) 677-2300

888 S King St
Honolulu, HI 96813
Phone (808) 522-4000

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1356410880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3819 DIVISADERO ST",
            "address_2": "#2",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941231079",
            "telephone_number": "858-361-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 REDWOOD BLVD",
            "address_2": "SUITE 200",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949454110",
            "telephone_number": "858-361-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEC",
        "first_name": "RHIAROSE",
        "middle_name": "MAGBITANG",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "22186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novato, CA

Sources for this page

Verify at the official NPI Registry.