Therese Auza
Individual provider Active NPI Physician Assistant · Seaside, CA
NPI 1831950252 · NPPES record last updated Jan 22, 2024
Key facts
- NPI
- 1831950252
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 100 Campus Ctr
Seaside, CA 93955-8000 - Phone
- (831) 772-7070
- NPI assigned
- Jan 22, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250813003808 | CA | Order and Referring Only - Physician Assistant | 4688172034 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64669 | CA | MD | Social Worker |
Interoperability endpoints
- tauza196937@santaclaravalley.direct-ci.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
100 Campus Ctr
Seaside, CA 93955-8000
Mailing address
100 Campus Ctr
Seaside, CA 93955-8000
Phone (831) 772-7070
Other providers in Seaside, CA
- Crystal Andon
- David Ang
- Benbenedic Montoya Aquino
- Marielouise R Assing
- Sonia Aujla
- Diego Avalos
- Mahin Azerang
- Maliheh Bakhshi
- April Morta Ballesteros
- Kavya Bangalore
All providers in Seaside, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.