Individual provider Active NPI

Claribell Anyikam, PA-C

  • Medical Physician Assistant
  • Pasadena, CA
National Provider Identifier
1427399583
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA 22816 Issued in CA
Practice address
1855 N Fair Oaks Ave Ste 200
Pasadena, CA 91103-1620
Phone
(626) 398-6300
NPI assigned
Mar 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA 22816 CA Primary

Addresses

Primary practice location

1855 N Fair Oaks Ave Ste 200
Pasadena, CA 91103-1620

Mailing address

1855 N Fair Oaks Ave Ste 200
Pasadena, CA 91103-1620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141030001338 CA Practitioner - Physician Assistant 3274754551 Reassigns benefits to 2 organizations
I20220124001252 TX Practitioner - Physician Assistant 3274754551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TMH Physician OrganizationGroup PAC ID 4880670108, 13 clinicians

Practice addresses (Care Compare)

10904 Memorial Hermann Dr
Suite 109
Pearland, TX 77584-2184
Phone (888) 663-6331

10904 Memorial Hermann Dr
Suite 490
Pearland, TX 77584-2183
Phone (888) 663-6331

Hospital & facility affiliations

  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22816CAMDDentist
PA 22816CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
One Medical Group, Inc CurrentSince Feb 7, 2025 Accepting new patients
One Medical Group, Inc. CurrentSince Feb 7, 2025 Accepting new patients
St Jude Hospital Inc Past Accepting new patients
University of California San Francisco Past Accepting new patients
The Methodist Hospital Past Accepting new patients

Locations

1 Embarcadero Ctr
Ste 1900
San Francisco, CA 94111

559 Clay St
#200
San Francisco, CA 94111
Phone (415) 830-4744

1004 Northgate Dr
San Rafael, CA 94903
Phone (415) 590-6150

Organizations & group practices 7

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.

Hospital & facility affiliations 6

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": "1363132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1427399583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 N FAIR OAKS AVE STE 200",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911031620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 N FAIR OAKS AVE STE 200",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911031620",
            "telephone_number": "626-398-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANYIKAM",
        "first_name": "CLARIBELL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-13",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA 22816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.