Sam Alkass, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA20138 Issued in CA

Practice address

354 Santa Fe Dr
Encinitas, CA 92024-5142

Phone

(858) 775-3113

NPI assigned

Jun 25, 2009

Sex

Male

Sole proprietor

Yes

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.

• Wound Docs Apc

  • Surgery Physician
  • Aliso Viejo, CA
  • NPI 1629891676

  CA

  Medicare reassignment NPD
• Altea Medical California PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Eureka, CA
  • NPI 1174302954

  CA

  Medicare reassignment
• Scripps Health

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1487928891
  NPD
• Ujwala Rajgopal, MD Professional Corporation

  • Surgery Physician
  • Encinitas, CA
  • NPI 1043410764
  NPD (past)

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: srabi61594@scrippshlth.medalliesdirect.net

• Sam Rabi Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 15, 2024.

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1841428042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 DEL MAR HEIGHTS RD",
            "address_2": "#713",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 SANTA FE DR",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245142",
            "telephone_number": "858-775-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALKASS",
        "first_name": "SAM",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-25",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA20138",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA20138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAM",
            "last_name": "RABI",
            "credential": "PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sofia Alfaro, OD
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• Alight Family Therapy Inc
• Aligned Wealth, LLC
• Aliya S Ferouz, MD,Medical Corporation
• David Allen
• Lisa Allen, AMFT, APCC
• Rhonda E. Allen, LCSW
• Daniel Edward Allison, OTR/L
• Mariann Alperin, M.D., M.S.

• All providers in Encinitas, CA
• Surgical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.