Patrick Califano
Individual provider Active NPI Physician Assistant · Norfolk, VA
NPI 1609537851 · NPPES record last updated May 16, 2023
Key facts
- NPI
- 1609537851
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 171 Kempsville Rd BLDG a
Norfolk, VA 23502-4700 - Phone
- (757) 668-6575
- NPI assigned
- Jan 9, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230220000805 | VA | Practitioner - Physician Assistant | 2466824552 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Specialty Group PLLC | Single Specialty | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Orthopaedic Surgery Physician |
207XP3100X | 0110008814 | VA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
171 Kempsville Rd BLDG a
Norfolk, VA 23502-4700
Mailing address
171 Kempsville Rd BLDG A2Nd
Norfolk, VA 23502-4700
Phone (757) 668-6550
Other providers in Norfolk, VA
- Theresa Calabrese
- Shanita Shontae Calcote
- Terry Denise Caldwell
- Larry A Cale
- Caliber & Probe, LLC
- Abby Corinne Calisch
- Angelo Medina Calivoso
- Michael Hutchinson Call
- William E. Callaghan
- Linda Brede Callahan
All providers in Norfolk, VA · Physician Assistant in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.