Individual provider Active NPI

Molly Kathryn Sabido, PA

  • Physician Assistant
  • Los Angeles, CA
National Provider Identifier
1619479128
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA61045 Issued in CA
Practice address
9233 W Pico Blvd Ste 230
Los Angeles, CA 90035-1385
Phone
(310) 356-8146
NPI assigned
Mar 1, 2018
Last updated
Jul 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA61045 CA Primary

Addresses

Primary practice location

9233 W Pico Blvd Ste 230
Los Angeles, CA 90035-1385

Mailing address

154 Greystone LN Apt 20
Rochester, NY 14618-4953
Phone (585) 281-4535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191212000563 NY Practitioner - Physician Assistant 4688921604 Reassigns benefits to 2 organizations
I20250709000651 CA Practitioner - Physician Assistant 4688921604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Senior Doc Integrated Med PCGroup PAC ID 3375990286, 15 clinicians

Practice addresses (Care Compare)

5 Hutton Centre Dr
Suite 950
Santa Ana, CA 92707-8744
Phone (855) 434-7763

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA61045CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Access Healthcare Associates a Medical Corporation CurrentSince Jul 21, 2024 Accepting new patients
Highland Hospital of Rochester CurrentSince Oct 13, 2019 Accepting new patients
Senior Doc Integrated Med, PC CurrentSince Apr 5, 2026 Accepting new patients
Highland Hospital of Rochester CurrentSince Oct 13, 2019 Accepting new patients

Locations

9233 W Pico Blvd
Ste 230
Los Angeles, CA 90035
Phone (310) 356-8146

5 Hutton Centre Dr
Ste 950
Santa Ana, CA 92707
Phone (855) 434-7663

1000 South Ave
Rochester, NY 14620
Phone (585) 341-0366

1000 South Ave
#58
Rochester, NY 14620
Phone (585) 341-6776

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12859/brand/1/csg/1/fhir/r4
  • Direct secure messaging: msabido119030@direct.urmc.rochester.edu
  • Direct secure messaging: msabido551600@direct.mmc.mainehealth.org

Organizations & group practices 6

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": "1519862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1619479128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 GREYSTONE LN APT 20",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146184953",
            "telephone_number": "585-281-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9233 W PICO BLVD STE 230",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351385",
            "telephone_number": "310-356-8146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABIDO",
        "first_name": "MOLLY",
        "middle_name": "KATHRYN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-01",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA61045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.