Active NPI
Erin Z Vawter
- Physician Assistant
- La Mesa, CA
National Provider Identifier
1376988691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA23028
- Practice address
- 5555 Grossmont Center Dr
Sharp Grossmont Hospital Emergency Department
La Mesa, CA 91942-3019 - Phone
- (619) 740-4071
- NPI assigned
- Apr 30, 2013
- Last updated
- Oct 12, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA23028 | CA | Primary |
Addresses
Primary practice location
5555 Grossmont Center Dr
Sharp Grossmont Hospital Emergency Department
La Mesa, CA 91942-3019
Mailing address
5555 Grossmont Center Dr
Sharp Grossmont Hospital Emergency Department
La Mesa, CA 91942-3019
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23028 | CA | MD | General Practice Dentistry |
| PA23028 | CA | MD | Physician Assistant |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1285811992
-
- Emergency Medicine Physician
- Lodi, CA
- NPI 1578958450
-
- Emergency Medicine Physician
- Pleasanton, CA
- NPI 1649692716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476230400000",
"number": "1376988691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5555 GROSSMONT CENTER DR",
"address_2": "SHARP GROSSMONT HOSPITAL EMERGENCY DEPARTMENT",
"city": "LA MESA",
"state": "CA",
"postal_code": "919423019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5555 GROSSMONT CENTER DR",
"address_2": "SHARP GROSSMONT HOSPITAL EMERGENCY DEPARTMENT",
"city": "LA MESA",
"state": "CA",
"postal_code": "919423019",
"telephone_number": "619-740-4071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAWTER",
"first_name": "ERIN",
"middle_name": "Z",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-30",
"last_updated": "2016-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA23028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.