Individual provider Active NPI

Gina Napenas Obsenares, PA-C

  • Physician Assistant
  • Burbank, CA
National Provider Identifier
1871703777
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 16202 Issued in CA
Practice address
201 S Buena Vista St Ste 420
Burbank, CA 91505-4571
Phone
(818) 238-2350
Fax
(818) 238-2351
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PA 16202 CA Primary

Addresses

Primary practice location

201 S Buena Vista St Ste 420
Burbank, CA 91505-4571

Mailing address

1715 N Mar Vista Ave
Pasadena, CA 91104-1325
Phone (626) 791-4535

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
I20041129000463 CA Practitioner - Physician Assistant 5799740072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

625 S Fair Oaks Ave
Suite 200
Pasadena, CA 91105-2651
Phone (626) 793-7790

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16202CAMDSpeech-Language Pathologist
PA 16202CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gabriele Aesthetics Inc Past Accepting new patients
Martin H. Kay, PH. D. MD a Medical Corporation Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871703777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 N MAR VISTA AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911041325",
            "telephone_number": "626-791-4535",
            "fax_number": "626-791-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S BUENA VISTA ST STE 420",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054571",
            "telephone_number": "818-238-2350",
            "fax_number": "818-238-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBSENARES",
        "first_name": "GINA",
        "middle_name": "NAPENAS",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA 16202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.