Individual provider Active NPI

Sarah Bobich, PA-C

  • Physician Assistant
  • Newport Beach, CA
National Provider Identifier
1861798951
Registry record updated Jan 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
21278 Issued in CA
Practice address
1901 Westcliff Dr Ste 2
Newport Beach, CA 92660-5505
Phone
(949) 646-3376
NPI assigned
Feb 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2015

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 21278 CA Primary

Addresses

Primary practice location

1901 Westcliff Dr Ste 2
Newport Beach, CA 92660-5505

Mailing address

1901 Westcliff Dr Ste 2
Newport Beach, CA 92660-5505
Phone (949) 646-3376

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
I20151221001741 CA Practitioner - Physician Assistant 1951602747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peter Helton Professional CorporationGroup PAC ID 0941300784, 2 clinicians

Practice addresses (Care Compare)

1901 Westcliff Dr
Suite 2
Newport Beach, CA 92660-5505
Phone (949) 646-3376

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21278CAMDDentist

Organizations & group practices 1

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": "1297036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420588800000",
    "number": "1861798951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 WESTCLIFF DR STE 2",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605505",
            "telephone_number": "949-646-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 WESTCLIFF DR STE 2",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605505",
            "telephone_number": "949-646-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBICH",
        "first_name": "SARAH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-07",
        "last_updated": "2015-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "21278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.