Individual provider Active NPI

Laura Sasso, PA-C

  • Medical Physician Assistant
  • Mill Valley, CA
National Provider Identifier
1386186302
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
55484 Issued in CA
Practice address
750 Redwood Hwy Frontage Rd Ste 1204
Mill Valley, CA 94941-2483
Phone
(415) 384-4778
Fax
(415) 384-4779
NPI assigned
Nov 8, 2016
Last updated
Jan 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 02034949-1 NY
Medical Physician Assistant 363AM0700X 55484 CA Primary

Addresses

Primary practice location

750 Redwood Hwy Frontage Rd Ste 1204
Mill Valley, CA 94941-2483

Mailing address

3400 Data Dr
Rancho Cordova, CA 95670-7956

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
I20180621000753 CA Practitioner - Physician Assistant 0749560860 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
UCSF Health Medical FoundationGroup PAC ID 9436239878, 65 clinicians

Practice addresses (Care Compare)

170 Columbus Ave
Suite 110
San Francisco, CA 94133-5160
Phone (415) 965-8050

199 W Portal Ave
San Francisco, CA 94127-1305
Phone (415) 821-8798

2395 Lombard St
San Francisco, CA 94123-2601
Phone (415) 796-2242

2895 Diamond St
San Francisco, CA 94131-3004
Phone (415) 964-4866

3900 Piedmont Ave
Oakland, CA 94611-5352
Phone (415) 432-7899

747 52ND St
Oakland, CA 94609-1809
Phone (510) 428-3000

750 Redwood Hwy Frontage Rd
Suite 1204
Mill Valley, CA 94941-2483
Phone (415) 384-4778

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as group
Quality
90.55
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
020349NYMDOccupational Therapist
02034949-1NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sonora Community Hospital CurrentSince Jul 18, 2018 Accepting new patients
Sonora Community Hospital CurrentSince Jul 18, 2018 Accepting new patients
Kingston Emergency Medical Associates PLLC Past Accepting new patients

Locations

1000 Greenley Rd
Sonora, CA 95370
Phone (209) 263-0803

14540 State Highway 108
Sonora, CA 95370
Phone (209) 532-3167

Interoperability endpoints

  • Direct secure messaging: laura.sasso@guc.eclinicaldirectplus.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1478563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1386186302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 REDWOOD HWY FRONTAGE RD STE 1204",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412483",
            "telephone_number": "415-384-4778",
            "fax_number": "415-384-4779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SASSO",
        "first_name": "LAURA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-08",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "02034949-1",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "55484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Valley, CA

Sources for this page

Verify at the official NPI Registry.