Shomal Prasad

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA65399 Issued in CA

Practice address

2267 Del Monte Dr
San Pablo, CA 94806-1020

Phone

(510) 565-9745

NPI assigned

Jul 2, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Enloe Medical CenterGroup PAC ID 9739092388, 330 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enloe Health Hospital, Chico, CA, CCN 050039
• Oroville Hospital Hospital, Oroville, CA, CCN 050030
• Adventist Health Clearlake Hospital, Clearlake, CA, CCN 051317
• Orchard Hospital Hospital, Gridley, CA, CCN 051311

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Enloe Medical Center

  • Urgent Care Clinic/Center
  • Chico, CA
  • NPI 1396753281
  Medicare reassignment Care Compare group
• Enloe Medical Center

  • Clinic/Center
  • Chico, CA
  • NPI 1255812780
  NPD
• Enloe Medical Center

  • Community/Retail Pharmacy
  • Chico, CA
  • NPI 1912949538
  NPD
• Enloe Medical Center

  • Cardiovascular Disease Physician
  • Chico, CA
  • NPI 1720099328
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventist Health Clearlake Hospital Inc.

  • Critical Access Hospital
  • Clearlake, CA
  • NPI 1124018031
  Care Compare affiliation
• Enloe Medical Center

  • General Acute Care Hospital
  • Chico, CA
  • NPI 1417901091
  Care Compare affiliation
• Orchard Hospital

  • Critical Access Hospital
  • Gridley, CA
  • NPI 1477522019
  Care Compare affiliation
• Oroville Hospital

  • General Acute Care Hospital
  • Oroville, CA
  • NPI 1871606269
  Care Compare affiliation

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1619713229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2267 DEL MONTE DR",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948061020",
            "telephone_number": "510-565-9745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2267 DEL MONTE DR",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948061020",
            "telephone_number": "510-565-9745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRASAD",
        "first_name": "SHOMAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-02",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA65399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryce Pham, PHARMD
• Somchith Phongboupha Almondia, LCSW
• Christina Ponce
• Tania Ponce I
• Kimberly Powers
• Louruama Pupo Gouvea Rossetto
• Robert W Quadra
• Jenny Quan, PA
• Karina Mactal Quentela, RPH
• Cortez Quinn

• Physician Assistant in San Pablo, CA
• Providers in San Pablo, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.