Individual provider Active NPI

Andrea Rosemary Giovanelli, PA

  • Physician Assistant
  • Oakland, CA
National Provider Identifier
1376050823
Registry record updated Jan 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
365 Hawthorne Ave Ste 201
Oakland, CA 94609-3114
Phone
(510) 452-1345
NPI assigned
Jan 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2018

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 Primary

Addresses

Primary practice location

365 Hawthorne Ave Ste 201
Oakland, CA 94609-3114

Mailing address

937 Shorepoint CT Apt G114
Alameda, CA 94501-5819
Phone (707) 315-1429

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
I20180329001147 CA Practitioner - Physician Assistant 7416219555 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sharp Rees-Stealy Medical Group IncGroup PAC ID 8628972759, 872 clinicians

Practice addresses (Care Compare)

10670 Wexford St
San Diego, CA 92131-3940
Phone (858) 621-4002

2929 Health Ctr Dr
San Diego, CA 92123-2762
Phone (858) 499-2600

480 H St
Chula Vista, CA 91910-4328
Phone (858) 499-2600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55441CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sharp Rees-Stealy Medical Group, Inc Physician Assistant CurrentSince Jun 6, 2022 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Jun 6, 2022 Accepting new patients
Stanford Health Care CurrentSince Jun 3, 2018 Accepting new patients
Stanford Health Care CurrentSince Jun 3, 2018 Accepting new patients
Sharp Memorial Hospital Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients
Stanford Health Care Past Accepting new patients
Sharp Rees-Stealy Medical Center Past Accepting new patients

Locations

4725 1st St
Ste 100
Pleasanton, CA 94566
Phone (925) 462-7060

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

2929 Health Center Dr
San Diego, CA 92123
Phone (858) 939-6531

5651 Copley Dr
San Diego, CA 92111
Phone (858) 262-6340

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

Interoperability endpoints

  • Direct secure messaging: agiovanelli33340@sharphealthcare.direct-ci.com

Organizations & group practices 10

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.

Hospital & facility affiliations 3

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": "1515110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515110400000",
    "number": "1376050823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "937 SHOREPOINT CT APT G114",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945015819",
            "telephone_number": "707-315-1429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 HAWTHORNE AVE STE 201",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093114",
            "telephone_number": "510-452-1345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIOVANELLI",
        "first_name": "ANDREA",
        "middle_name": "ROSEMARY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-05",
        "last_updated": "2018-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.