Individual provider Active NPI

Sarah Masako De Vera, PA-C

  • Medical Physician Assistant
  • Yuma, AZ
National Provider Identifier
1780154542
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
10540 Issued in AZ
Practice address
1394 W 16TH St
Yuma, AZ 85364-4430
Phone
(928) 539-0055
NPI assigned
Dec 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 62080 CA
Medical Physician Assistant 363AM0700X 10540 AZ Primary

Addresses

Primary practice location

1394 W 16TH St
Yuma, AZ 85364-4430

Mailing address

1394 W 16TH St
Yuma, AZ 85364-4430
Phone (928) 539-0055

Other practice location 1

9850 Genesee Ave Ste 320
LA Jolla, CA 92037-1208
Phone (858) 554-1212

Other names 1

  • Sarah Gifford Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230530003009 CA Practitioner - Physician Assistant 6608233010 Reassigns benefits to 1 organization
I20240919004166 AZ Practitioner - Physician Assistant 6608233010 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy Associates and Asthma LTD 10 clinicians

Practice addresses (Care Compare)

1200 S Castle Dome Ave
Suite C
Yuma, AZ 85365-5305
Phone (928) 344-2300

Merit-based Incentive Payment System (MIPS)

Final score
92.17 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
73.9

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California Past Accepting new patients
UC San Diego Health - Rancho Family Medical Group Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sarah.deverapac.p1@direct.nextcare.nextgenshare.com

Organizations & group practices 6

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": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1780154542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1394 W 16TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853644430",
            "telephone_number": "928-539-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1394 W 16TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853644430",
            "telephone_number": "928-539-0055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9850 Genesee Ave Ste 320",
            "address_purpose": "LOCATION",
            "city": "LA Jolla",
            "state": "CA",
            "postal_code": "920371208",
            "country_code": "US",
            "telephone_number": "858-554-1212",
            "fax_number": "858-795-1195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE VERA",
        "first_name": "SARAH",
        "middle_name": "MASAKO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-04",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "62080",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "10540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "GIFFORD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.