Individual provider Active NPI

Patricia Alioto, P.A.

  • Physician Assistant
  • San Anselmo, CA
National Provider Identifier
1568652253
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 11828 Issued in CA
Practice address
22 Crane Dr
San Anselmo, CA 94960-1013
Phone
(415) 306-7981
NPI assigned
Jul 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA 11828 CA Primary
Physician Assistant 363A00000X PA11828 CA
Medical Physician Assistant 363AM0700X PA11828 CA

Addresses

Primary practice location

22 Crane Dr
San Anselmo, CA 94960-1013

Mailing address

22 Crane Dr
San Anselmo, CA 94960-1013
Phone (415) 308-2254

Other identifiers 1

IdentifierTypeStateIssuer
PA 11828OtherCAPHYSICIAN ASSISTANT COMMI

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
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA 11828CAMDPhysician Assistant
PA11828CAMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1185580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1568652253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 CRANE DR",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949601013",
            "telephone_number": "415-308-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 CRANE DR",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949601013",
            "telephone_number": "415-306-7981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALIOTO",
        "first_name": "PATRICIA",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-28",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA 11828",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA11828",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA11828",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT COMMI",
            "identifier": "PA 11828",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Anselmo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.