Active NPI
Anne V Hall, PA
- Physician Assistant
- Santa Maria, CA
National Provider Identifier
1821080060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 52181
- Practice address
- 300 S Stratford Ave
Santa Maria, CA 93454-5903 - Phone
- (805) 739-3863
- NPI assigned
- Aug 15, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 003456 | NY | |
| Physician Assistant | 363A00000X | 52181 | CA | Primary |
Addresses
Primary practice location
300 S Stratford Ave
Santa Maria, CA 93454-5903
Mailing address
1400 E. Church Street
Attention- Medical Staff Office
Santa Maria, CA 93454
Phone (805) 739-3954
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2364 | TN | MD | Chiropractor |
| 003456-1 | NY | MD | Speech-Language Pathologist |
| 52181 | CA | MD | Physician Assistant |
| 003456 | CT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHHS, PHS, Naihs, Shiprock Hospital | Current | Accepting new patients | |
| DHHS, PHS, Naihs, Shiprock Hospital | Current | Accepting new patients | |
| Sonora Community Hospital | Current | Accepting new patients |
Locations
193 Fairview Ln
Sonora, CA 95370
Phone (209) 536-5100
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.
-
- Rural Health Clinic/Center
- Sonora, CA
- NPI 1003014952
-
- General Acute Care Hospital
- Teecnospos, AZ
- NPI 1477615789
-
- General Acute Care Hospital
- Shiprock, NM
- NPI 1780639971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576800000000",
"number": "1821080060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 E. CHURCH STREET",
"address_2": "ATTENTION- MEDICAL STAFF OFFICE",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "93454",
"telephone_number": "805-739-3954",
"fax_number": "805-739-3060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 S STRATFORD AVE",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934545903",
"telephone_number": "805-739-3863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "ANNE",
"middle_name": "V",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-15",
"last_updated": "2019-12-20",
"certification_date": "2019-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "003456",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "52181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Maria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; 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.