Individual provider Active NPI

Messeret Assefa, PA-C

  • Medical Physician Assistant
  • Bellflower, CA
National Provider Identifier
1720178890
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA13102 Issued in CA
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

Updated by the provider on Sep 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PA13102OtherCASTATE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
PA13102CAMDMedical Physician Assistant

Practice roles (3 of 4)

OrganizationSpecialtyStatusNew patients
Community Medicine Inc. CurrentSince Aug 11, 2022 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.