Active NPI
Annabelle Reyes Delossantos, PA
- Physician Assistant
- Sacramento, CA
National Provider Identifier
1699097121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA20847
- Practice address
- 8118 Timberlake Way
Sacramento, CA 95823-5400 - Phone
- (916) 688-5040
- Fax
- (916) 688-7866
- NPI assigned
- Feb 25, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA20847 | CA | Primary |
Addresses
Primary practice location
8118 Timberlake Way
Sacramento, CA 95823-5400
Mailing address
PO Box 580053
Elk Grove, CA 95758-0001
Phone (916) 683-6349
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA20847 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hill Physicians Care Solutions, Inc. | Past | Accepting new patients | |
| Sutter North Medical Foundation | Past | Accepting new patients |
Interoperability endpoints
- adelossantos16052@hpmg.direct-ci.net
- adelossantos219823@hisp.ehr.sutterhealth.org
Organizations & group practices 2
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.
-
- Health Maintenance Organization
- San Ramon, CA
- NPI 1437769429
-
- Ambulatory Surgical Clinic/Center
- Yuba City, CA
- NPI 1144251521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267056000000",
"number": "1699097121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 580053",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957580001",
"telephone_number": "916-683-6349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8118 TIMBERLAKE WAY",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958235400",
"telephone_number": "916-688-5040",
"fax_number": "916-688-7866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELOSSANTOS",
"first_name": "ANNABELLE",
"middle_name": "REYES",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-25",
"last_updated": "2010-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA20847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.