Active NPI
Mabel del Pilar Rivera Sagastegui, PA-C
- Physician Assistant
- Sacramento, CA
National Provider Identifier
1871971580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 52446
- Practice address
- 2433 Marconi Ave
Sacramento, CA 95821-4807 - Phone
- (916) 737-5555
- Fax
- (916) 890-3828
- NPI assigned
- May 13, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 52446 | CA | Primary |
Addresses
Primary practice location
2433 Marconi Ave
Sacramento, CA 95821-4807
Mailing address
777 12TH St Ste 250
Sacramento, CA 95814-1929
Phone (916) 469-4690
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspace Health | Current | Accepting new patients | |
| Wellspace Health | Current | Accepting new patients | |
| Wellspace Health | Past | Accepting new patients |
Locations
777 12th St
Ste 250
Sacramento, CA 95814
Phone (916) 469-4690
2433 Marconi Ave
Sacramento, CA 95821
Phone (916) 313-8455
1820 J St
Sacramento, CA 95811
Phone (916) 550-5481
Interoperability endpoints
- mrivera769627@direct.ochin.org
- mabel.riverapa.p1@direct.wellspacehealth.nextgenshare.com
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1124112933
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1114682689
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1265777692
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1548789050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672272000000",
"number": "1871971580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 12TH ST STE 250",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958141929",
"telephone_number": "916-469-4690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2433 MARCONI AVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958214807",
"telephone_number": "916-737-5555",
"fax_number": "916-890-3828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA SAGASTEGUI",
"first_name": "MABEL DEL PILAR",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-13",
"last_updated": "2022-12-29",
"certification_date": "2022-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "52446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; 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.