Individual provider Active NPI

Jillaine Ann Socha, P.A.- C

  • Medical Physician Assistant
  • Salinas, CA
National Provider Identifier
1730158676
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA11365 Issued in CA
Practice address
230 San Jose St
Salinas, CA 93901-3901
Phone
(831) 758-2100
Fax
(831) 758-1565
NPI assigned
Mar 14, 2006
Last updated
Jun 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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 PA11365 CA Primary

Addresses

Primary practice location

230 San Jose St
Salinas, CA 93901-3901

Mailing address

1260 S Main St
Suite 202
Salinas, CA 93901-2288
Phone (831) 769-9355

Other identifiers 8

IdentifierTypeStateIssuer
970013835OtherCARAIL ROAD MEDICARE - PROVIDER PTAN
W1514BOtherCAMEDICARE PTAN - TYPE 2
1447410519OtherNPI - TYPE 2
W11996OtherCAMEDICARE PTAN - TYPE 2
1720247455OtherNPI - TYPE 2
1912919804OtherNPI - TYPE 2
CG5665OtherCARAIL ROAD MEDICARE - GROUP PTAN
W1514OtherCAMEDICARE PTAN - TYPE 2

Other names 1

  • Ms. Jill Ann Wadin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
11365CAMDSpeech-Language Pathologist
PA11365CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lancelot O Alexander MD a Medical Corporation Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1730158676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 S MAIN ST",
            "address_2": "SUITE 202",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939012288",
            "telephone_number": "831-769-9355",
            "fax_number": "831-754-4955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 SAN JOSE ST",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013901",
            "telephone_number": "831-758-2100",
            "fax_number": "831-758-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOCHA",
        "first_name": "JILLAINE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "P.A.- C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA11365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE - PROVIDER PTAN",
            "identifier": "970013835",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN - TYPE 2",
            "identifier": "W1514B",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - TYPE 2",
            "identifier": "1447410519",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN  - TYPE 2",
            "identifier": "W11996",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - TYPE 2",
            "identifier": "1720247455",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - TYPE 2",
            "identifier": "1912919804",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE - GROUP PTAN",
            "identifier": "CG5665",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN - TYPE 2",
            "identifier": "W1514",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "WADIN",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "P.A.- C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.