Individual provider Active NPI

Anthony Pirouz, PA-C

  • Physician Assistant
  • Fortuna, CA
National Provider Identifier
1366833923
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
52315 Issued in CA
Practice address
930 S Fortuna Blvd
Fortuna, CA 95540-3009
Phone
(707) 923-2783
NPI assigned
Feb 17, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 52315 CA Primary
Physician Assistant 363A00000X PA-1963 ID

Addresses

Primary practice location

930 S Fortuna Blvd
Fortuna, CA 95540-3009

Mailing address

PO Box 769
Redway, CA 95560-0769
Phone (707) 923-2783

Other practice location 1

101 West Coast Road
Redway, CA 95560
Phone (707) 923-2783

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, ID2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150714001692 CA Practitioner - Physician Assistant 9436462835 Reassigns benefits to 5 organizations
I20201111001624 ID Practitioner - Physician Assistant 9436462835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ashley a Davis M.D.P.C.Group PAC ID 0547204695, 4 clinicians

Practice addresses (Care Compare)

222 N 2ND St
Boise, ID 83702-6130
Phone (208) 429-9100

Hospital & facility affiliations

  • Providence St Joseph Hospital Hospital, Eureka, CA, CCN 050006
  • Mad River Community Hospital Hospital, Arcata, CA, CCN 050028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52315CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Central Coast Family Care Medical Associates, Inc. CurrentSince Apr 18, 2015 Accepting new patients
Family Health Centers of San Diego, Inc. CurrentSince Jun 12, 2020 Accepting new patients
Open Door Community Health Centers Current Accepting new patients
Redwoods Rural Health Center, Inc. CurrentSince Dec 16, 2025 Accepting new patients
Open Door Community Health Centers Current Accepting new patients
Open Door Community Health Centers CurrentSince Jun 14, 2021 Accepting new patients
Open Door Community Health Centers Current Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Jun 12, 2020 Accepting new patients
Open Door Community Health Centers Current Accepting new patients
Central Coast Family Care Medical Associates, Inc CurrentSince Apr 18, 2015 Accepting new patients
Open Door Community Health Centers CurrentSince Jun 14, 2021 Accepting new patients
Redwoods Rural Health Center Inc. CurrentSince Dec 16, 2025 Accepting new patients
Thomas M Dawes Jr MD a Medical Corporation PastSince Mar 1, 2001 Accepting new patients
Community Medical Specialists Inc PastSince Dec 1, 2023 Accepting new patients

Locations

785 18th St
Arcata, CA 95521
Phone (707) 822-2481

770 10th St
Arcata, CA 95521
Phone (707) 826-8610

1275 8th St
Arcata, CA 95521

550 E Washington Blvd
Crescent City, CA 95531
Phone (707) 465-4636

2200 Tydd St
Eureka, CA 95501
Phone (707) 269-7051

930 S Fortuna Blvd
Fortuna, CA 95540
Phone (707) 353-2162

1644 Central Ave
McKinleyville, CA 95519
Phone (707) 839-3068

823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323

915 E Stowell Rd
Ste B
Santa Maria, CA 93454
Phone (805) 938-7424

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1424131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1366833923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 769",
            "city": "REDWAY",
            "state": "CA",
            "postal_code": "955600769",
            "telephone_number": "707-923-2783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 S FORTUNA BLVD",
            "city": "FORTUNA",
            "state": "CA",
            "postal_code": "955403009",
            "telephone_number": "707-923-2783"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 West Coast Road",
            "address_purpose": "LOCATION",
            "city": "Redway",
            "state": "CA",
            "postal_code": "95560",
            "country_code": "US",
            "telephone_number": "707-923-2783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIROUZ",
        "first_name": "ANTHONY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-17",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "52315",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA-1963",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fortuna, CA

Sources for this page

Verify at the official NPI Registry.