Active NPI
Bryan Sauter, PAC
- Physician Assistant
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA13253
- Practice address
- 311 E Winston Street
Los Angeles Mission Community Clinic
Los Angeles, CA 90013 - Phone
- (213) 893-1960
- Fax
- (213) 893-1962
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- 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 | PA13253 | CA | Primary |
Addresses
Primary practice location
311 E Winston Street
Los Angeles Mission Community Clinic
Los Angeles, CA 90013
Mailing address
23544 Ash CT
Marrieta, CA 92562
Phone (951) 698-4644
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EAP70948F | Other | CA | EAPC |
| CMM70948F | Medicaid | CA |
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
- Albany Medical College of Union University, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
16405 Sand Canyon Ave
Suite 250
Irvine, CA 92618-3787
Phone (949) 502-5572
2083 Compton Ave
Suite 104
Corona, CA 92881-7288
Phone (951) 837-3151
28078 Baxter Rd
Suite 530
Murrieta, CA 92563-1405
Phone 9515665229125
400 Newport Ctr Dr
Suite 609
Newport Beach, CA 92660-7695
Phone (949) 760-0398
40663 Murrieta Hot Springs Rd
Suite C1
Murrieta, CA 92562-9015
Phone (951) 200-6791
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- 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 |
|---|---|---|---|
| 13253 | CA | MD | Professional Counselor |
| PA13253 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Medical Doctors | Current | Accepting new patients |
Locations
2083 Compton Ave
Ste 104
Corona, CA 92881
Phone (951) 256-8191
521 E Elder St
Ste 104
Fallbrook, CA 92028
Phone (760) 728-9560
40663 Murrieta Hot Springs Rd
Ste C1
Murrieta, CA 92562
Phone (951) 200-6791
28078 Baxter Rd
Ste 530
Murrieta, CA 92563
Phone (951) 290-5472
400 Newport Center Dr
Ste 609
Newport Beach, CA 92660
Phone (949) 760-0398
31469 Rancho Pueblo Rd
Ste 101
Temecula, CA 92592
Phone (951) 303-3718
Interoperability endpoints
- https://api.platform.athenahealth.com/9170/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
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- NPI 1194554675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407944820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23544 ASH CT",
"city": "MARRIETA",
"state": "CA",
"postal_code": "92562",
"telephone_number": "951-698-4644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 E WINSTON STREET",
"address_2": "LOS ANGELES MISSION COMMUNITY CLINIC",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90013",
"telephone_number": "213-893-1960",
"fax_number": "213-893-1962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAUTER",
"first_name": "BRYAN",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA13253",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EAPC",
"identifier": "EAP70948F",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CMM70948F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.