Renee Pagal Alsisto-Pagatpatan, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA17501 Issued in CA

Practice address

1339 W. Willow Street
Long Beach, CA 90810

Phone

(562) 492-6698

Fax

(562) 492-9553

NPI assigned

Mar 12, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Ms. Renee Pagal Alsisto Former name

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Ayman Neoman MD a Medical Corporation

  • Surgery Physician
  • Long Beach, CA
  • NPI 1467408807
  NPD (past)
• First Integrated Care Medical Group Inc

  • Family Medicine Physician
  • Long Beach, CA
  • NPI 1720077852
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1447491980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1339 W. WILLOW STREET",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90810",
            "telephone_number": "562-492-6698",
            "fax_number": "562-492-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1339 W. WILLOW STREET",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90810",
            "telephone_number": "562-492-6698",
            "fax_number": "562-492-9553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALSISTO-PAGATPATAN",
        "first_name": "RENEE",
        "middle_name": "PAGAL",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-12",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA17501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA PA COMMITTEE",
            "identifier": "PA17501",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA CA LICENSE NUMBER",
            "identifier": "PA17501",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "ALSISTO",
            "middle_name": "PAGAL",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alpha Care Medical Supply, Inc.
• Zahra Alrubai
• Rami Alsaqri, DO
• Aya Alshafi, DDS
• Kais I Alsharif, MD
• Altamed Health Services Corp
• Autumn Altamirano
• Zulma Karina Altamirano
• Ammar Ali Altowaiji, MFTI
• Allison Altwer, M.A.

• Physician Assistant in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.

Verify at the official NPI Registry.