Anne L Adams-Alexis, PA
Individual provider Active NPI Physician Assistant · Roseville, CA
NPI 1629089461 · NPPES record last updated Jul 27, 2015
Key facts
- NPI
- 1629089461
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA12762 (CA)
- Practice address
- 3100 Douglas Blvd
Roseville, CA 95661-3866 - Phone
- (916) 774-8500
- Fax
- (916) 773-9223
- NPI assigned
- Aug 10, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12762 | CA | MD | Speech-Language Pathologist |
| PA12762 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter North Medical Foundation | Past | Accepting new patients |
Interoperability endpoints
- aalexispac17311@hisp.ehr.sutterhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA12762 | CA | Yes |
Addresses
Primary practice location
3100 Douglas Blvd
Roseville, CA 95661-3866
Mailing address
10470 Old Placerville Rd
Suite 100
Sacramento, CA 95827-2539
Phone (800) 470-0071
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0PA127620 | Medicaid | CA |
Other providers in Roseville, CA
- Lorelei Acuna
- Acupuncture Medical Center, a Professional Corporation
- Mohamad Mounir Adada
- Joseph Peter Adair
- Lisa M Adamek
- Aaliyah Hazel Adams
- Bridget Adams
- Cassandra Adams
- Dorinda L Adams
- Katherine Adams
All providers in Roseville, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.