Individual provider Active NPI

Angela-Rose Jessie Day, PA-C

  • Physician Assistant
  • San Francisco, CA
National Provider Identifier
1821375643
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
60515 Issued in CA
Practice address
333 1St St Ste a
San Francisco, CA 94105-2661
Phone
(888) 803-3370
Fax
(888) 803-3331
NPI assigned
Nov 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 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 60515 CA Primary
Physician Assistant 363A00000X 029204 NY

Addresses

Primary practice location

333 1St St Ste a
San Francisco, CA 94105-2661

Mailing address

3404 Vista Palm Dr
Edgewater, FL 32141-6424
Phone (407) 405-3053

Other practice location 1

156 William St Rm 303
New York, NY 10038-5307
Phone (888) 803-3370

Other identifiers 3

IdentifierTypeStateIssuer
009473100MedicaidFL
1821375643OtherFLTRICARE
Y0NE4OtherFLBCBS

Other names 1

  • Angela-Rose Maness Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC, CA, NY4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20141027000974 FL Practitioner - Physician Assistant 7012138597
I20180710002318 NC Practitioner - Physician Assistant 7012138597 Reassigns benefits to 1 organization
I20240806001580 CA Practitioner - Physician Assistant 7012138597 Reassigns benefits to 1 organization
I20250702002989 NY Practitioner - Physician Assistant 7012138597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Circle Medical Care of New York PCGroup PAC ID 0749710465, 16 clinicians
Circle Medical Care of CaliforniaGroup PAC ID 3870894579, 71 clinicians

Practice addresses (Care Compare)

156 William St
RM 303
New York, NY 10038-5307
Phone (855) 487-8497

333 1St St
Suite a
San Francisco, CA 94105-2661
Phone (888) 803-3370

333 1St St a
San Francisco, CA 94105-2661

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
029204NYMDGeneral Practice Dentistry
60515CAMDPharmacist

Interoperability endpoints

  • Direct secure messaging: angela.day@166622370791428.direct.elationemr.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": "1320710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1821375643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3404 VISTA PALM DR",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "321416424",
            "telephone_number": "407-405-3053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 1ST ST STE A",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941052661",
            "telephone_number": "888-803-3370",
            "fax_number": "888-803-3331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "156 William St Rm 303",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100385307",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAY",
        "first_name": "ANGELA-ROSE",
        "middle_name": "JESSIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-08",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "60515",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "029204",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009473100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "1821375643",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y0NE4",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA-ROSE",
            "last_name": "MANESS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.