NPIMap

Individual provider Active NPI

Alla P Rozova, PA-C

  • Physician Assistant
  • Los Gatos, CA
National Provider Identifier
1629260971
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
19073 Issued in CA
Practice address
15425 Los Gatos Blvd Ste 120
Los Gatos, CA 95032-2541
Phone
(408) 354-3920
NPI assigned
Aug 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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 19073 CA Primary

Addresses

Primary practice location

15425 Los Gatos Blvd Ste 120
Los Gatos, CA 95032-2541

Mailing address

15425 Los Gatos Blvd Ste 120
Los Gatos, CA 95032-2541
Phone (408) 354-3920

Other practice location 1

795 El Camino Real
Palo Alto, CA 94301-2302
Phone (650) 321-4121

Other names 1

  • Alla P Novoseltseva Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071023000553 CA Practitioner - Physician Assistant 7012003957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Healthcare AllianceGroup PAC ID 6305748799, 334 clinicians

Practice addresses (Care Compare)

15425 Los Gatos Blvd
Suite 120
Los Gatos, CA 95032-2541
Phone (408) 340-5700

50 E Hamilton Ave
Suite 280
Campbell, CA 95008-0273
Phone (408) 227-2646

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19073CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Medical Group Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Bay Area Community Health Past Accepting new patients
Mayview Community Health Center, Inc. Past Accepting new patients

Organizations & group practices 5

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1629260971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15425 LOS GATOS BLVD STE 120",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322541",
            "telephone_number": "408-354-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15425 LOS GATOS BLVD STE 120",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322541",
            "telephone_number": "408-354-3920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "795 El Camino Real",
            "address_purpose": "LOCATION",
            "city": "Palo Alto",
            "state": "CA",
            "postal_code": "943012302",
            "country_code": "US",
            "telephone_number": "650-321-4121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROZOVA",
        "first_name": "ALLA",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-10",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "19073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLA",
            "last_name": "NOVOSELTSEVA",
            "middle_name": "P",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.