Jason Dean Adams, PA-C
Individual provider Active NPI Physician Assistant · Sacramento, CA
NPI 1447539838 · NPPES record last updated Aug 16, 2011
Key facts
- NPI
- 1447539838
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA21754 (CA)
- Practice address
- 4001 J St
Sacramento, CA 95819-3626 - Phone
- (916) 453-4545
- NPI assigned
- Aug 16, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Regents of the Univ of Ca
Practice addresses (Care Compare)
2315 Stockton Blvd
Sacramento, CA 95817-2201
Phone (916) 734-2011
4860 Y St
Sacramento, CA 95817-2307
4861 Y St
Sacramento, CA 95817-2307
Phone (916) 734-2525
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251126003809 | CA | Practitioner - Physician Assistant | 1052803921 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA21754 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the Univ of Ca | Current |
Accepting new patients | |
| Regents of the Univ of Ca | Current |
Accepting new patients | |
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Regents of the Univ of Ca | Past | Accepting new patients |
Locations
2521 Stockton Blvd
Ste 3200
Sacramento, CA 95817
Phone (916) 734-3112
4001 J St
Sacramento, CA 95819
Phone (916) 453-4037
4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA21754 | CA | Yes |
Addresses
Primary practice location
4001 J St
Sacramento, CA 95819-3626
Mailing address
4001 J St
Sacramento, CA 95819-3626
Phone (916) 453-4545
Other providers in Sacramento, CA
- Erika Jane Adams
- Erika Yvonne Adams
- Inez Adams
- Jacob C. Adams
- James Wellman Adams
- Jason Yeates Adams
- Jesse W. Adams
- John Standish Adams
- Joyce A Adams
- Kennedy Adams
All providers in Sacramento, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.