Individual provider Active NPI

Alexa Lodolo, PA-C

  • Physician Assistant
  • Seaside, CA
National Provider Identifier
1831969138
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
67351 Issued in CA
Practice address
625 Hilby Ave
Seaside, CA 93955-5720
Phone
(831) 394-1691
NPI assigned
Jan 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 67351 CA Primary

Addresses

Primary practice location

625 Hilby Ave
Seaside, CA 93955-5720

Mailing address

625 Hilby Ave
Seaside, CA 93955-5720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20251212002688 CA Practitioner - Physician Assistant 9830683259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

115 E Ogden Ave
Suite 105 313
Naperville, IL 60563-3103

1691 The Alameda
San Jose, CA 95126-2203

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
67351CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood Mar Monte, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Planned Parenthood Mar Monte, Inc CurrentSince Dec 1, 2025 Accepting new patients
Planned Parenthood Mar Monte, Inc Current Accepting new patients

Locations

625 Hilby Ave
Seaside, CA 93955
Phone (831) 394-1691

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": "1704672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1831969138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 HILBY AVE",
            "city": "SEASIDE",
            "state": "CA",
            "postal_code": "939555720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 HILBY AVE",
            "city": "SEASIDE",
            "state": "CA",
            "postal_code": "939555720",
            "telephone_number": "831-394-1691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LODOLO",
        "first_name": "ALEXA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-08",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "67351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaside, CA

Sources for this page

Verify at the official NPI Registry.