Alicia Annette Conway, MPH, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA57581 Issued in CA

Practice address

420 W Acacia St Ste 1
Stockton, CA 95203-2441

Phone

(209) 948-1583

NPI assigned

Oct 18, 2018

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

Other names 1

• Alicia Annette Conway Professional name

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sound Physicians Emergency Medicine of Southern California PCGroup PAC ID 9436406964, 18 clinicians

Kind Clinic Physician Assistant Owned ApcGroup PAC ID 1850832510, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Dameron Hospital Hospital, Stockton, CA, CCN 050122
• Emanuel Medical Center Hospital, Turlock, CA, CCN 050179

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.

• Kind Clinic Physician Assistant Owned Apc

  • Adult Medicine Physician
  • Turlock, CA
  • NPI 1982444659

  CA

  Medicare reassignment Care Compare group Authorized official
• Sound Physicians Emergency Medicine of Southern California, P.C.

  • Emergency Medicine Physician
  • Oakdale, CA
  • NPI 1194180968

  CA, Physician Assistant

  Medicare reassignment Care Compare group NPD
• Cep America - California

  • Emergency Medicine Physician
  • San Francisco, CA
  • NPI 1023063542

  CA

  Medicare reassignment
• Clinic Services of California Medical Group Inc

  • Emergency Medicine Physician
  • Lodi, CA
  • NPI 1578958450

  CA

  Medicare reassignment
• Team Physicians of California Medical Group Inc

  • Emergency Medicine Physician
  • Delano, CA
  • NPI 1447288345

  CA

  Medicare reassignment
• Trinity Emergency Physicians

  • Emergency Medicine Physician
  • Redding, CA
  • NPI 1508605635

  CA

  Medicare reassignment
• Cep America - California

  • Emergency Medicine Physician
  • Turlock, CA
  • NPI 1932686367
  NPD
• Golden State Health Care Inc.

  • Basic Emergency Medical Technician
  • Merced, CA
  • NPI 1851774236
  NPD (past)

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

• Dameron Hospital Association

  • General Acute Care Hospital
  • Stockton, CA
  • NPI 1538163886

  Hospital

  Care Compare affiliation
• Dameron Hospital Association

  • Primary Care Clinic/Center
  • Stockton, CA
  • NPI 1699195115

  Hospital

  Care Compare affiliation
• Doctors Medical Center of Modesto, Inc.

  • General Acute Care Hospital
  • Turlock, CA
  • NPI 1396087672

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1689140485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 N TULLY RD APT E148",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953806853",
            "telephone_number": "916-601-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W ACACIA ST STE 1",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952032441",
            "telephone_number": "209-948-1583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "ALICIA",
        "middle_name": "ANNETTE",
        "credential": "MPH, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-18",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA57581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "CONWAY",
            "middle_name": "ANNETTE",
            "credential": "PA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Manuel Alejandro Contreras, DDS
• Manuel M Contreras, D.D.S
• Neiko Raul Contreras
• Jennifer Michael Conway-Brandt
• Shaunna Conway-Brandt
• Bethany Cook
• Giovanna M Cook
• Tori Yvonne Cooke, PTA
• Mary E Coombs, LCSW
• Angelique Cooper

• All providers in Stockton, CA
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; 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.