Active NPI
Laura Sasso, PA-C
- Medical Physician Assistant
- Mill Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 55484
- 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, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 90.55
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.64 of 100
- Quality
- 86.27
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020349 | NY | MD | Occupational Therapist |
| 02034949-1 | NY | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonora Community Hospital | Current | Accepting new patients | |
| Sonora Community Hospital | Current | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Oakland, CA
- NPI 1922124866
-
- Emergency Medicine Physician
- Sonora, CA
- NPI 1871732933
-
- Community/Retail Pharmacy
- Sonora, CA
- NPI 1740582568
-
dba Prompt Care Indian Rock
- Urgent Care Clinic/Center
- Sonora, CA
- NPI 1962493791
-
- Emergency Medicine Physician
- Kingston, NY
- NPI 1891024303
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greenbrae, CA
- NPI 1396725677
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.