Individual provider Active NPI

Annabelle Reyes Delossantos, PA

  • Physician Assistant
  • Sacramento, CA
National Provider Identifier
1699097121
Registry record updated Feb 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA20847 Issued in CA
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

Updated by the provider on Feb 25, 2010

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 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

LicenseStateTypeSpecialty
PA20847CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hill Physicians Care Solutions, Inc. Past Accepting new patients
Sutter North Medical Foundation Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: adelossantos16052@hpmg.direct-ci.net
  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.