Individual provider Active NPI

Paula Drivas, RPAC

  • Physician Assistant
  • Los Angeles, CA
National Provider Identifier
1497819395
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
54046 Issued in CA
Practice address
2110 W Sunset Blvd Ste M
Los Angeles, CA 90026-7318
Phone
(213) 510-8640
NPI assigned
Dec 22, 2006
Last updated
Jan 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 54046 CA Primary
Physician Assistant 363A00000X 043071 NY

Addresses

Primary practice location

2110 W Sunset Blvd Ste M
Los Angeles, CA 90026-7318

Mailing address

2920 Telegraph Ave Ste 100
Berkeley, CA 94705-2031
Phone (415) 329-3727

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address pdrivas802380@oc.providencedirect.org
Direct Messaging Address pdrivas802380@oc.providencedirect.org

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170627002830 CA Practitioner - Physician Assistant 4981784535 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1040 W Imperial Hwy
Suite D
La Habra, CA 90631-0608
Phone (714) 451-1072

13299 S St
Cerritos, CA 90703-7307
Phone (562) 865-8750

13365 W Washington Blvd
Los Angeles, CA 90066-5134
Phone (310) 504-1825

14443 Culver Dr
14443 A
Irvine, CA 92604-0343
Phone (949) 767-8173

2110 W Sunset Blvd
Suite M
Los Angeles, CA 90026-7318
Phone (833) 873-2852

21835 Ventura Blvd
Suite 21837
Woodland Hills, CA 91364-1838
Phone (818) 600-7348

2944 Tapo Canyon Rd
Suite a
Simi Valley, CA 93063-0903
Phone (805) 306-5990

3851 Katella Ave
Suite 100
Los Alamitos, CA 90720-3385
Phone (562) 430-4138

3955 Bedford Canyon Rd
Unit 103
Corona, CA 92883-3627
Phone (951) 293-4722

4550 Van Nuys Blvd
Suite A4
Sherman Oaks, CA 91403-2844
Phone (818) 514-3631

600 E Colorado Blvd
Suite 120
Pasadena, CA 91101-6800
Phone (323) 301-7988

6160 Laurel Canyon Blvd
Suite 160
North Hollywood, CA 91606-3287
Phone (213) 267-6536

6971 El Camino Real
Suite 101
Carlsbad, CA 92009-4114
Phone (760) 258-4971

806 New Los Angeles Ave
Moorpark, CA 93021-3608
Phone (805) 334-8650

858 N Rose Dr
Suite C 2
Placentia, CA 92870-7522
Phone (714) 792-3736

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
96.07
Promoting interoperability
100
Improvement activities
40
Cost
71.98

Merit-based Incentive Payment System (MIPS)

Final score
96.69 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
54046CAMDGeneral Practice Dentistry
043071NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Carbon Health Medical Group of California PC CurrentSince Jan 23, 2025 Accepting new patients
Cep America-California CurrentSince Jun 29, 2021 Accepting new patients
Carbon Health Medical Group of California PC CurrentSince Jan 23, 2025 Accepting new patients
Cep America - California CurrentSince Jun 29, 2021 Accepting new patients
Providence Saint Johns Medical Foundation CurrentSince Dec 10, 2021 Accepting new patients
Saint John's Health Clinic Past Accepting new patients
Providence Saint John's Health Center Past Accepting new patients

Locations

7330 El Camino Real
Atascadero, CA 93422
Phone (805) 703-2501

2920 Telegraph Ave
Ste 100
Berkeley, CA 94705
Phone (415) 329-3727

26777 Agoura Rd
Ste 4
Calabasas, CA 91302
Phone (818) 880-2225

751 Medical Center Ct
#1182
Chula Vista, CA 91911

2110 W Sunset Blvd
Ste M
Los Angeles, CA 90026
Phone (510) 686-3621

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

2336 Santa Monica Blvd
Ste 204
Santa Monica, CA 90404
Phone (310) 453-4477

2944 Tapo Canyon Rd
Ste A
Simi Valley, CA 93063
Phone (805) 306-5990

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1497819395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 TELEGRAPH AVE STE 100",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052031",
            "telephone_number": "415-329-3727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 W SUNSET BLVD STE M",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900267318",
            "telephone_number": "213-510-8640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRIVAS",
        "first_name": "PAULA",
        "credential": "RPAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "54046",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "043071",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pdrivas802380@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "2121 Santa Monica Blvd",
            "city": "Santa Monica",
            "state": "CA",
            "country_code": "US",
            "postal_code": "904042303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pdrivas802380@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "901 Wilshire Blvd",
            "city": "Santa Monica",
            "state": "CA",
            "country_code": "US",
            "postal_code": "904011854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.