Individual provider Active NPI

Michele Mozelsio, P.A.

  • Medical Physician Assistant
  • San Francisco, CA
National Provider Identifier
1750302204
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA17712 Issued in CA
Practice address
50 Lech Walesa
Tom Waddell Health Center
San Francisco, CA 94102-4506
Phone
(415) 355-7400
Fax
(415) 355-7402
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PA17712 CA Primary

Addresses

Primary practice location

50 Lech Walesa
Tom Waddell Health Center
San Francisco, CA 94102-4506

Mailing address

1426 Waller St Apt 6
San Francisco, CA 94117-2954
Phone (415) 863-4048

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
I20070124000718 CA Practitioner - Physician Assistant 2062413636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City and County of San FranciscoGroup PAC ID 1658280748, 368 clinicians

Practice addresses (Care Compare)

220 Golden Gate Ave
San Francisco, CA 94102-3795
Phone (415) 355-7400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.2 of 100Reported as group
Quality
61.12
Promoting interoperability
99
Improvement activities
40
Cost
83.72

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA17712CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
City & County of San Francisco CurrentSince Feb 25, 2020 Accepting new patients
City and County of San Francisco CurrentSince Feb 25, 2020 Accepting new patients

Locations

234 Eddy St
San Francisco, CA 94102
Phone (415) 353-5095

50 Lech Walesa
San Francisco, CA 94102
Phone (415) 355-7400

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750302204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 WALLER ST APT 6",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941172954",
            "telephone_number": "415-863-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 LECH WALESA",
            "address_2": "TOM WADDELL HEALTH CENTER",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941024506",
            "telephone_number": "415-355-7400",
            "fax_number": "415-355-7402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOZELSIO",
        "first_name": "MICHELE",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA17712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.