Saraina Simone Hedgepeth, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA57707 Issued in CA

Practice address

4000 Calle Tecate Ste 220
Camarillo, CA 93012-5289

Phone

(805) 465-7388

NPI assigned

Jan 26, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Altea Medical California PCGroup PAC ID 1850740150, 84 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Altea Medical California PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Eureka, CA
  • NPI 1174302954
  Medicare reassignment Care Compare group
• Dietz Regenerative Health Corporation

  dba Stoked Regenerative Health

  • Anatomic Pathology & Clinical Pathology Physician
  • Ventura, CA
  • NPI 1174402010
  Medicare reassignment NPD
• Joshua Wolfsohn DO Inc

  • Infectious Disease Physician
  • Camarillo, CA
  • NPI 1356906739
  Medicare reassignment

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

{
    "created_epoch": "1579996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1902436231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 CALLE TECATE STE 220",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125289",
            "telephone_number": "805-465-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 CALLE TECATE STE 220",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125289",
            "telephone_number": "805-465-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDGEPETH",
        "first_name": "SARAINA",
        "middle_name": "SIMONE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-26",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA57707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healing RX Inc
• Healingmd Inc
• Healthy Eyes Medical Group
• Christopher Bruce Hearst
• Amanda Heath
• Jordan S Hedger
• Andrea Hedin
• Haylea Diane Hedrick
• Alexis Belle Heinzer
• Ritu Heithaus

• Medical Physician Assistant in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.