Active NPI
Wendy Pomerantz, P.A., C , LA,C
- Physician Assistant
- Sacramento, CA
National Provider Identifier
1407079221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA13392
- Practice address
- 3301 Alta Arden Expy Ste 3
Sacramento, CA 95825-2121 - Phone
- (916) 489-4400
- Fax
- (916) 489-1710
- NPI assigned
- Apr 10, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA13392 | CA | Primary |
Addresses
Primary practice location
3301 Alta Arden Expy Ste 3
Sacramento, CA 95825-2121
Mailing address
3301 Alta Arden Expy Ste 3
Sacramento, CA 95825-2121
Phone (916) 489-4400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AC 5619 | Other | CA | ACUPUNTURE LICENSE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Jul 1, 2014 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA13392 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1407079221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3301 ALTA ARDEN EXPY STE 3",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958252121",
"telephone_number": "916-489-4400",
"fax_number": "916-489-1710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 ALTA ARDEN EXPY STE 3",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958252121",
"telephone_number": "916-489-4400",
"fax_number": "916-489-1710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POMERANTZ",
"first_name": "WENDY",
"credential": "P.A., C , LA,C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA13392",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACUPUNTURE LICENSE #",
"identifier": "AC 5619",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.