Individual provider Active NPI

Paolo Andreassi, M.D.

  • Urology Physician
  • Sacramento, CA
National Provider Identifier
1497730162
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
F5266 Issued in CA
Practice address
4860 Y St
Suite 3500
Sacramento, CA 95817-2307
Phone
(916) 734-5154
Fax
(916) 734-8094
NPI assigned
Dec 14, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X F5266 CA Primary

Addresses

Primary practice location

4860 Y St
Suite 3500
Sacramento, CA 95817-2307

Mailing address

4860 Y St
Suite 3500
Sacramento, CA 95817-2307
Phone (916) 734-5154

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060105000887 CA Practitioner - Urology 6507889490 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

18990 Coyote Valley Rd
Suite 5
Hidden Valley Lake, CA 95467-8339
Phone (707) 968-0670

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.74 of 100Reported as group
Quality
94
Promoting interoperability
92
Improvement activities
40
Cost
65.12

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
F5266CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network CurrentSince Oct 16, 2017 Accepting new patients
Adventist Health Physicians Network Current Accepting new patients
Adventist Health Clearlake Hospital Inc. CurrentSince Aug 1, 2024 Accepting new patients
Adventist Health Physicians Network CurrentSince Oct 16, 2017 Accepting new patients
Adventist Health Clearlake Hospital Inc Past Accepting new patients

Locations

913 Washington St
Calistoga, CA 94515
Phone (707) 942-0844

15322 Lakeshore Dr
Ste 102
Clearlake, CA 95422
Phone (707) 994-2030

15630 18th Ave
Clearlake, CA 95422
Phone (707) 995-5820

1524 W Lacey Blvd
Ste 101
Hanford, CA 93230
Phone (559) 583-4695

18990 Coyote Valley Rd
Ste 5
Hidden Valley Lake, CA 95467
Phone (707) 963-1031

18990 Coyote Valley Rd
Ste 8
Hidden Valley Lake, CA 95467
Phone (707) 987-8344

6 Woodland Rd
Ste 205
Saint Helena, CA 94574
Phone (707) 963-6111

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497730162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4860 Y ST",
            "address_2": "SUITE 3500",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172307",
            "telephone_number": "916-734-5154",
            "fax_number": "916-734-8094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4860 Y ST",
            "address_2": "SUITE 3500",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172307",
            "telephone_number": "916-734-5154",
            "fax_number": "916-734-8094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREASSI",
        "first_name": "PAOLO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "F5266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.