Individual provider Active NPI

Jessica Elise Schneider, PA-C

  • Physician Assistant
  • Greenfield, CA
National Provider Identifier
1891292512
Registry record updated Apr 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
55361 Issued in CA
Practice address
808 Oak Ave
Greenfield, CA 93927-5648
Phone
(831) 674-5334
NPI assigned
Apr 9, 2018
Last updated
Apr 9, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2018

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 55361 CA Primary

Addresses

Primary practice location

808 Oak Ave
Greenfield, CA 93927-5648

Mailing address

1045 Kings Park Rd
Memphis, TN 38117-5433
Phone (901) 230-1331

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
I20180614000109 CA Practitioner - Physician Assistant 2466707500 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55361CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica de Salud del Valle de Salinas CurrentSince Nov 1, 2024 Accepting new patients
Clinica de Salud del Valle de Salinas CurrentSince Nov 1, 2024 Accepting new patients
Santa Lucia Medical Group, Inc. Past Accepting new patients

Locations

808 Oak Ave
Greenfield, CA 93927
Phone (831) 674-5334

55 Plaza Cir
Ste A
Salinas, CA 93901
Phone (831) 757-0434

Interoperability endpoints

  • Direct secure messaging: jessica.schneider.p1@direct.csvs.nextgenshare.com
  • Direct secure messaging: jschneider31944@direct.svmh.com

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": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523232000000",
    "number": "1891292512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 KINGS PARK RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381175433",
            "telephone_number": "901-230-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 OAK AVE",
            "city": "GREENFIELD",
            "state": "CA",
            "postal_code": "939275648",
            "telephone_number": "831-674-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "JESSICA",
        "middle_name": "ELISE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-09",
        "last_updated": "2018-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "55361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, CA

Sources for this page

Verify at the official NPI Registry.