Eileen Rose Panza, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA64436 Issued in CA

Practice address

3225 Timber Fall CT Ste B
Eureka, CA 95503-4892

Phone

(707) 442-5700

NPI assigned

Jan 28, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, CA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.70964

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.

• Planned Parenthood Shasta Diablo Inc

  • Community Health Clinic/Center
  • Concord, CA
  • NPI 1982763090
  Medicare reassignment
• Planned Parenthood of Greater New York Inc

  • Ambulatory Family Planning Facility
  • Brooklyn, NY
  • NPI 1417959701
  Medicare reassignment
• Planned Parenthood Shasta Diablo Inc

  • Clinical Medical Laboratory
  • San Rafael, CA
  • NPI 1750435244
  NPD
• Planned Parenthood Shasta Diablo, Inc.

  • Community Health Clinic/Center
  • Santa Rosa, CA
  • NPI 1659671600
  NPD
• Planned Parenthood: Shasta-Diablo, Inc.

  • Non-Surgical Family Planning Clinic/Center
  • Eureka, CA
  • NPI 1609286418
  NPD (past)
• Cohen, Bergman & Klepper M.D.'S P.C.

  • Cardiovascular Disease Physician
  • Huntington, NY
  • NPI 1457451379
  NPD (past)
• Planned Parenthood of the Southern Finger Lakes Inc.

  • Ambulatory Family Planning Facility
  • Ithaca, NY
  • NPI 1881761484
  NPD (past)

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

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1497219141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 TIMBER FALL CT STE B",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955034892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 TIMBER FALL CT STE B",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955034892",
            "telephone_number": "707-442-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANZA",
        "first_name": "EILEEN",
        "middle_name": "ROSE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-28",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "023199",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA64436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angel Palomera
• Pampered Hands and Feet
• Rachael R Pangborn, RN
• Alyssa Panozzo, PA-C
• Jack Panting
• Cameron Papp
• Mark B Pardoe, M.D.
• Rebecca Pardoe, PT
• Hannah Lyn Park
• Hyun Soo Park, MD

• Physician Assistant in Eureka, CA
• Providers in Eureka, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.