Active NPI
Tommy Savedra, PA
- Medical Physician Assistant
- Bridgeport, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA13254
- Practice address
- 221 Twin Lakes Rd
Bridgeport, CA 93517 - Phone
- (760) 932-7011
- Fax
- (760) 932-7182
- NPI assigned
- Jan 26, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA13254 | CA | Primary |
Addresses
Primary practice location
221 Twin Lakes Rd
Bridgeport, CA 93517
Mailing address
PO Box 660
Mammoth Lakes, CA 93546-0660
Phone (760) 932-7011
Other names 1
- Tom Savedra
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1190 Baker St
Suite 105
Costa Mesa, CA 92626-4105
Phone (714) 477-8460
19582 Beach Blvd
Suite 180
Huntington Beach, CA 92648-5978
Phone (714) 477-8050
26671 Aliso Creek Rd
Suite 101
Aliso Viejo, CA 92656-4807
Phone (949) 791-3107
5341 Warner Ave
Huntington Beach, CA 92649-4078
Phone (714) 477-8450
Hospital & facility affiliations
- Hoag Memorial Hospital Presbyterian
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA13254 | CA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hoag Hospital | Past | Accepting new patients |
Interoperability endpoints
- tomsavedra@hcpca.allscriptsdirect.net
Organizations & group practices 4
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.
-
- Urgent Care Clinic/Center
- Irvine, CA
- NPI 1326828575
-
- Primary Care Clinic/Center
- Newport Beach, CA
- NPI 1942799523
-
- Clinic/Center
- Fountain Valley, CA
- NPI 1205167350
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1689864365
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519862400000",
"number": "1720134372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 660",
"city": "MAMMOTH LAKES",
"state": "CA",
"postal_code": "935460660",
"telephone_number": "760-932-7011",
"fax_number": "760-932-7182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 TWIN LAKES RD",
"city": "BRIDGEPORT",
"state": "CA",
"postal_code": "93517",
"telephone_number": "760-932-7011",
"fax_number": "760-932-7182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAVEDRA",
"first_name": "TOMMY",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-26",
"last_updated": "2018-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA13254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TOM",
"last_name": "SAVEDRA",
"credential": "PA",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Bridgeport, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2018; 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.