Active NPI
Rasheeda Hawk
- Medical Physician Assistant
- Santa Maria, CA
National Provider Identifier
1558193169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 67068
- Practice address
- 1075 E Betteravia Rd Ste 201
Santa Maria, CA 93454-7023 - Phone
- (805) 621-7714
- NPI assigned
- Aug 14, 2024
- Last updated
- Apr 10, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 67068 | CA | Primary |
Addresses
Primary practice location
1075 E Betteravia Rd Ste 201
Santa Maria, CA 93454-7023
Mailing address
PO Box 83922
Los Angeles, CA 90083-0921
Phone (310) 895-1200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67068 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775779200000",
"number": "1558193169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 83922",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900830921",
"telephone_number": "310-895-1200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1075 E BETTERAVIA RD STE 201",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934547023",
"telephone_number": "805-621-7714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWK",
"first_name": "RASHEEDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-14",
"last_updated": "2026-04-10",
"certification_date": "2026-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "67068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Maria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.