Melissa Sarah Hawks, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA17600 Issued in CA

Practice address

1261 Travis Blvd
#150
Fairfield, CA 94533-4897

Phone

(707) 426-5407

Fax

(707) 426-6376

NPI assigned

Mar 18, 2006

Last updated

Feb 25, 2016By 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

Other identifiers 1

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, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prohealth Partners, a Medical GroupGroup PAC ID 2769388412, 236 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

38.53 of 100Reported as group

Quality

20.07

Promoting interoperability

0

Improvement activities

0

Cost

75.03

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.

• Prohealth Partners, a Medical Group

  • Internal Medicine Physician
  • Lakewood, CA
  • NPI 1003949975
  Medicare reassignment Care Compare group
• Southland Renal Medical Group, Inc.

  • Nephrology Physician
  • Long Beach, CA
  • NPI 1730110495
  Medicare reassignment NPD
• Prohealth Partners a Medical Group Inc

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1932539780
  NPD
• Prohealth Partners, a Medical Group, Inc.

  • Internal Medicine Physician
  • Pico Rivera, CA
  • NPI 1912899394
  NPD
• Southland Renal Medical Group, Inc

  • Nephrology Physician
  • Long Beach, CA
  • NPI 1851589600
  NPD
• Davita Nephrology Medical Associates of Ca, Inc.

  • Nephrology Physician
  • Los Angeles, CA
  • NPI 1255576831
  NPD (past)
• Davita Nephrology Medical Associates of Ca, Inc.

  dba DaVita Renal Specialists of California Medical

  • Nephrology Physician
  • Fairfield, CA
  • NPI 1306806740
  NPD (past)
• Prohealth Partners, a Medical Group, Inc.

  • Internal Medicine Physician
  • Long Beach, CA
  • NPI 1639126279
  NPD (past)

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

{
    "created_epoch": "1142640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456358400000",
    "number": "1487613519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 TRAVIS BLVD",
            "address_2": "#150",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945334897",
            "telephone_number": "707-426-5407",
            "fax_number": "707-426-6376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 TRAVIS BLVD",
            "address_2": "#150",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945334897",
            "telephone_number": "707-426-5407",
            "fax_number": "707-426-6376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKS",
        "first_name": "MELISSA",
        "middle_name": "SARAH",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-18",
        "last_updated": "2016-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA17600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD RETIREMENT BOARD",
            "identifier": "P00202421",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karilynn Hatfield-Beddow, LM, CPM
• Ashley Hathcock
• Nanik Hatsakorzian, PHARMD
• Yeshi D Hauckes
• Kayla Leanne Hauss
• Trace Allan Haworth
• Toni Elizabeth Hay
• Edy Hayashi, P.T.
• Elizabeth J Hayes-Hernandez, MFT #49173
• Gina Hayes

• Medical Physician Assistant in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; 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.