Emily Andrew
Individual provider Active NPI Physician Assistant · Alpine, CA
NPI 1861961369 · NPPES record last updated Nov 14, 2018
Key facts
- NPI
- 1861961369
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 1730 Alpine Blvd
Alpine, CA 91901-3876 - Phone
- (608) 843-7013
- NPI assigned
- Nov 14, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- San Diego Gastroenterology Medical Associates
Practice addresses (Care Compare)
4060 4TH Ave
Suite 240
San Diego, CA 92103-2120
Phone (619) 291-6064
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 |
|---|---|---|---|---|
| I20200716004161 | CA | Practitioner - Physician Assistant | 1658793120 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
1730 Alpine Blvd
Alpine, CA 91901-3876
Mailing address
5395 Napa St Apt 131
San Diego, CA 92110-2654
Other names
- Emily Schwartz
Other providers in Alpine, CA
- Alpine Special Treatment Center
- Alpine Union Elementary
- Alpine View Lodge, LLC
- Mayra Berenice Alvarez
- Alvin Amar
- Samar Areiquat
- Lacey Danielle Armstrong
- Ime Attah
- Amanjyot Kaur Bains
- Jonathan Louis Baker
All providers in Alpine, 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 Nov 14, 2018. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.