Elisa R Rea, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA22083 Issued in CA

Practice address

696 E Santa Clara St
Suite 210
San Jose, CA 95112-1911

Phone

(408) 295-9839

NPI assigned

Mar 20, 2012

Last updated

Jan 3, 2018By the provider in NPPES

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

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

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Regents of the University of CaliforniaGroup PAC ID 8022922475, 562 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of California Davis Medical Center Hospital, Sacramento, CA, CCN 050599

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Regents of the University of California

  dba UC Davis Medical Group

  • Multi-Specialty Clinic/Center
  • Sacramento, CA
  • NPI 1952998973
  Medicare reassignment Care Compare group NPD
• Paul Justin Robinson, D.O.

  • Family Medicine Physician
  • Castro Valley, CA
  • NPI 1750389698
  Medicare reassignment
• Regents of the University of California

  • Multi-Specialty Clinic/Center
  • Elk Grove, CA
  • NPI 1083694616
  NPD
• Nabil K Abudayeh MD Professional Corporation

  • Cardiovascular Disease Physician
  • Castro Valley, CA
  • NPI 1558558023
  NPD (past)
• Viet-Hong Duy Bui, D.O., Inc.

  • Primary Care Clinic/Center
  • San Jose, CA
  • NPI 1457167249
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Regents of the University of California

  dba University of California Davis Medical Center

  • General Acute Care Hospital
  • Sacramento, CA
  • NPI 1710918545
  Care Compare affiliation

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514937600000",
    "number": "1467727651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20700 LAKE CHABOT RD",
            "address_2": "STE 107",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465402",
            "telephone_number": "408-295-9839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 E SANTA CLARA ST",
            "address_2": "SUITE 210",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951121911",
            "telephone_number": "408-295-9839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REA",
        "first_name": "ELISA",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-20",
        "last_updated": "2018-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA22083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frances D Razo, RN
• Guadalupe Razon-Barragan
• RCR Star Management of San Jose, Inc (Interim HealthCare)
• RCR Star Management of San Jose, Inc. (Interim HealthCare)
• Re-Mobilizers
• Reach Out Transportation, LLC (Care Trans)
• Reachpoint Home Care and Resources, Inc.
• Frank Read, MD
• Terry Read, RPH,CGP
• Ready for Wellness

• Physician Assistant in San Jose, CA
• Providers in San Jose, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2018; 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.

Verify at the official NPI Registry.