Active NPI
Messeret Assefa, PA-C
- Medical Physician Assistant
- Bellflower, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA13102
- Practice address
- 8800 Alondra Blvd Ste C
Bellflower, CA 90706-4355 - Phone
- (562) 602-2508
- Fax
- (562) 602-2382
- NPI assigned
- Oct 13, 2006
- Sex
- Female
- 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 | PA13102 | CA | Primary |
Addresses
Primary practice location
8800 Alondra Blvd Ste C
Bellflower, CA 90706-4355
Mailing address
8800 Alondra Blvd Ste C
Bellflower, CA 90706-4355
Other practice location 1
8540 Alondra Blvd Ste B2
Paramount, CA 90723-5200
Phone (562) 602-2508 ext. 56260
Other practice location 2
301 N Main St
Santa Ana, CA 92701-4852
Phone (714) 547-6641
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA13102 | Other | CA | STATE LICENSE ASSEFA PA-C |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050407000687 | CA | Practitioner - Physician Assistant | 2668429069 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA13102 | CA | MD | Medical Physician Assistant |
Practice roles (3 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medicine Inc. | Current | Accepting new patients | |
| Deanco Healthcare LLC. | Past | Accepting new patients | |
| Community Medicine Inc | Past | Accepting new patients |
Locations
8800 Alondra Blvd
Ste C
Bellflower, CA 90706
Phone (562) 602-2508
8540 Alondra Blvd
Ste B2
Paramount, CA 90723
Phone (562) 602-2508
301 N Main St
Santa Ana, CA 92701
Phone (714) 547-6600
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- messeret.assefa.p1@direct.cmiorg.nextgenshare.com
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Paramount, CA
- NPI 1457744476
-
- Psychiatric Hospital Unit
- Panorama City, CA
- NPI 1013061597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725408000000",
"number": "1720178890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8800 ALONDRA BLVD STE C",
"city": "BELLFLOWER",
"state": "CA",
"postal_code": "907064355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8800 ALONDRA BLVD STE C",
"city": "BELLFLOWER",
"state": "CA",
"postal_code": "907064355",
"telephone_number": "562-602-2508",
"fax_number": "562-602-2382"
}
],
"practiceLocations": [
{
"address_1": "8540 Alondra Blvd Ste B2",
"address_purpose": "LOCATION",
"city": "Paramount",
"state": "CA",
"postal_code": "907235200",
"country_code": "US",
"telephone_number": "562-602-2508 x56260",
"fax_number": "562-602-2382",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "301 N Main St",
"address_purpose": "LOCATION",
"city": "Santa Ana",
"state": "CA",
"postal_code": "927014852",
"country_code": "US",
"telephone_number": "714-547-6641",
"fax_number": "714-541-8161",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ASSEFA",
"first_name": "MESSERET",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-13",
"last_updated": "2024-09-04",
"certification_date": "2024-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA13102",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE ASSEFA PA-C",
"identifier": "PA13102",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellflower, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.