Individual provider Active NPI

Anna Ninnette Saravia, MSPA-C

  • Medical Physician Assistant
  • Rancho Cucamonga, CA
National Provider Identifier
1902050867
Registry record updated Oct 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA19970 Issued in CA
Practice address
7777 Milliken Ave Ste a
Rancho Cucamonga, CA 91730-7489
Phone
(909) 948-8050
NPI assigned
Nov 5, 2008
Last updated
Oct 13, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA19970 CA Primary

Addresses

Primary practice location

7777 Milliken Ave Ste a
Rancho Cucamonga, CA 91730-7489

Mailing address

1901 E Amar Rd
163
West Covina, CA 91792-1741
Phone (626) 667-7424

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
I20141202000940 CA Practitioner - Physician Assistant 1557683547 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Medical PracticeGroup PAC ID 3173050994, 4 clinicians

Practice addresses (Care Compare)

8891 Central Ave
Suite a
Montclair, CA 91763-1685
Phone (432) 294-5833

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA19970CAMDMedical Physician Assistant
19970CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of San Bernardino CurrentSince Apr 30, 2018 Accepting new patients
County of San Bernardino CurrentSince Apr 30, 2018 Accepting new patients

Locations

303 E Mountain View St
Barstow, CA 92311
Phone (760) 256-4705

351 N Mountain View Ave
Rm 303
Sn Bernrdno, CA 92415

Organizations & group practices 5

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": "1225843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255392000000",
    "number": "1902050867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 E AMAR RD",
            "address_2": "163",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917921741",
            "telephone_number": "626-667-7424",
            "fax_number": "626-667-7424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 MILLIKEN AVE STE A",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917307489",
            "telephone_number": "909-948-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARAVIA",
        "first_name": "ANNA",
        "middle_name": "NINNETTE",
        "credential": "MSPA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-05",
        "last_updated": "2009-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA19970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.