Active NPI
Mahsa Mona Ameli, PAC
- Physician Assistant
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 61940
- Practice address
- 811 Grand Ave Ste D
Sacramento, CA 95838-3466 - Phone
- (916) 922-9868
- NPI assigned
- Nov 8, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 61940 | CA | Primary |
Addresses
Primary practice location
811 Grand Ave Ste D
Sacramento, CA 95838-3466
Mailing address
5029 Soprano Cir
Fairfield, CA 94534-6897
Phone (310) 429-3353
Other practice location 1
1450 N Main St
Salinas, CA 93906-5100
Phone (831) 772-7070
Other practice location 2
2829 Watt Ave Ste 200
Sacramento, CA 95821-6245
Phone (916) 418-0828
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61940 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care of California, a Medical Corporation | Current | Accepting new patients | |
| American Current Care of California, a Medical Corporation | Current | Accepting new patients | |
| Heartland Child & Family Services | Past | Accepting new patients |
Locations
1800 Westwind Dr
Ste 301
Bakersfield, CA 93301
Phone (661) 327-9617
2555 S East Ave
Fresno, CA 93706
Phone (559) 499-2400
1340 Mitchell Rd
Modesto, CA 95351
Phone (209) 581-9711
25115 Madison Ave
Murrieta, CA 92562
Phone (951) 600-9070
1101 S Milliken Ave
Ste C
Ontario, CA 91761
Phone (909) 390-2799
1851 Lombard St
Ste 100
Oxnard, CA 93030
Phone (805) 983-2234
640 S Placentia Ave
Placentia, CA 92870
Phone (714) 579-7772
1675 Alhambra Blvd
Ste B
Sacramento, CA 95816
Phone (916) 451-1494
2 Connecticut St
San Francisco, CA 94107
Phone (415) 621-5055
2587 Merced St
San Leandro, CA 94577
Phone (510) 351-3553
740 Nordahl Rd
Ste 131
San Marcos, CA 92069
Phone (760) 432-9000
988 Walsh Ave
Santa Clara, CA 95050
Phone (408) 988-6868
1221 N Dutton Ave
Santa Rosa, CA 95401
Phone (707) 543-8360
3 S Linden Ave
South San Francisco, CA 94080
Phone (650) 238-1500
3663 Arch Rd
Ste 400
Stockton, CA 95215
Phone (209) 943-2202
21081 S Western Ave
Ste 150
Torrance, CA 90501
Phone (310) 782-3333
3680 Industrial Blvd
Ste 550H
West Sacramento, CA 95691
Phone (916) 373-7575
5080 Spectrum Dr
Ste 1200W
Addison, TX 75001
Organizations & group practices 4
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.
-
dba Concentra Urgent Care
- Clinic/Center
- Los Angeles, CA
- NPI 1750573622
-
dba Concentra Urgent Care
- Urgent Care Clinic/Center
- Ontario, CA
- NPI 1811464084
-
dba Concentra Urgent Care
- Clinic/Center
- Richmond, CA
- NPI 1982893988
-
- Adolescent and Children Mental Health Clinic/Center
- Sacramento, CA
- NPI 1295814739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671494400000",
"number": "1427766526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5029 SOPRANO CIR",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945346897",
"telephone_number": "310-429-3353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 GRAND AVE STE D",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958383466",
"telephone_number": "916-922-9868"
}
],
"practiceLocations": [
{
"address_1": "1450 N Main St",
"address_purpose": "LOCATION",
"city": "Salinas",
"state": "CA",
"postal_code": "939065100",
"country_code": "US",
"telephone_number": "831-772-7070",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2829 Watt Ave Ste 200",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958216245",
"country_code": "US",
"telephone_number": "916-418-0828",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AMELI",
"first_name": "MAHSA",
"middle_name": "MONA",
"credential": "PAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-08",
"last_updated": "2022-12-20",
"certification_date": "2022-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "61940",
"primary": true
}
],
"identifiers": [],
"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 Dec 20, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.