Sadie Wilt Klena, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

57934 Issued in CA

Practice address

23 Upper Ragsdale Dr
Monterey, CA 93940-7849

Phone

(831) 375-3577

NPI assigned

Mar 6, 2020

Last updated

Mar 9, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sadie Wilt Clifford Former name

Medicare fee-for-service enrollment

Enrolled in VA

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• East Beach Urgent Care LLC

  dba East Beach Urgent Care

  • Clinic/Center
  • Norfolk, VA
  • NPI 1760919625
  Medicare reassignment

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1821623158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 ALDER ST",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939503125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 UPPER RAGSDALE DR",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939407849",
            "telephone_number": "831-375-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLENA",
        "first_name": "SADIE",
        "middle_name": "WILT",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-06",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "57934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SADIE",
            "last_name": "CLIFFORD",
            "middle_name": "WILT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael G Klassen, MD
• R Bryan Scott Klassen, M.D.
• Klein Medical Group Inc
• Thomas Allan Klein, CO
• Laurie Kleinman, MD
• Jan Klinefelter
• Mary T Klotz
• Knight Fischer (Osteopathic Golf)
• Kerri Knowles
• Lenora Justine Knudson, CRNA

• Medical Physician Assistant in Monterey, CA
• Providers in Monterey, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; 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.

Verify at the official NPI Registry.