Individual provider Active NPI

Ann Strain, P.A.

  • Medical Physician Assistant
  • Burlingame, CA
National Provider Identifier
1669573911
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA13468 Issued in CA
Practice address
1860 El Camino Real
Suite 301
Burlingame, CA 94010-3127
Phone
(650) 552-8100
Fax
(650) 552-8105
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA13468 CA Primary

Addresses

Primary practice location

1860 El Camino Real
Suite 301
Burlingame, CA 94010-3127

Mailing address

1860 El Camino Real
Suite 301
Burlingame, CA 94010-3127
Phone (650) 552-8100

Other identifiers 1

IdentifierTypeStateIssuer
0PA136460MedicaidCA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200107003220 CA Order and Referring Only - Physician Assistant 2769557214

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13468CAMDMental Health Counselor

Interoperability endpoints

  • Direct secure messaging: astrainglattmedical80735@hisp.ehr.sutterhealth.org

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437091200000",
    "number": "1669573911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 EL CAMINO REAL",
            "address_2": "SUITE 301",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103127",
            "telephone_number": "650-552-8100",
            "fax_number": "650-552-8105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 EL CAMINO REAL",
            "address_2": "SUITE 301",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103127",
            "telephone_number": "650-552-8100",
            "fax_number": "650-552-8105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAIN",
        "first_name": "ANN",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2015-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA13468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0PA136460",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlingame, CA

Sources for this page

Verify at the official NPI Registry.