Smita S Gyawali, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA61488 Issued in CA

Practice address

2337 Oak Grove Rd
Walnut Creek, CA 94598-3506

Phone

(888) 663-6331

NPI assigned

Jun 27, 2016

Sex

Female

Sole proprietor

No

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.

• East Bay Nephrology Medical Group, Inc.

  • Nephrology Physician
  • Vallejo, CA
  • NPI 1184719809

  CA

  Medicare reassignment Care Compare group NPD
• Stat Med PC a California Medical Professional Corporation

  • Urgent Care Clinic/Center
  • Lafayette, CA
  • NPI 1891132106

  CA

  Medicare reassignment Care Compare group NPD
• Stat Med PC a California Medical Professional Corporation

  • Urgent Care Clinic/Center
  • Brentwood, CA
  • NPI 1265169643
  Care Compare group NPD
• Stat Med PC a California Medical Professional Corporation

  • Urgent Care Clinic/Center
  • Concord, CA
  • NPI 1508302977
  Care Compare group
• Eastern Medical Associates LLC

  • Internal Medicine Physician
  • Westborough, MA
  • NPI 1508213471

  Physician Assistant

  NPD (past)
• Reliant Medical Group, Inc

  • Physical Therapist
  • Worcester, MA
  • NPI 1295827962
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Contra Costa County

  • General Acute Care Hospital
  • Martinez, CA
  • NPI 1386719086

  Hospital

  Care Compare affiliation
• Sutter Bay Hospitals

  • General Acute Care Hospital
  • Berkeley, CA
  • NPI 1639523004

  Hospital

  Care Compare affiliation

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Bay Nephrology Medical Group Inc 31 clinicians

Stat Med PC a California Medical Professional Corporation 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Contra Costa Regional Medical Center Hospital, Martinez, CA, CCN 050276
• Alta Bates Summit Medical Center - Alta Bates Camp Hospital, Berkeley, CA, CCN 050305

Merit-based Incentive Payment System (MIPS)

Final score

89.19 of 100Reported as group

Quality

62.26

Promoting interoperability

100

Improvement activities

40

Cost

68.36

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles (5 of 6)

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: smita.gyawali.1@6134.direct.athenahealth.com
• Direct secure messaging: smita.gyawali.1@11381.direct.athenahealth.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 28, 2022.

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1912358474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723",
            "telephone_number": "415-658-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2337 OAK GROVE RD",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983506",
            "telephone_number": "888-663-6331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Summer St",
            "address_2": "Ste 521",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016081216",
            "country_code": "US",
            "telephone_number": "508-852-0600",
            "fax_number": "508-368-3146",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "490 Page Blvd",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011043026",
            "country_code": "US",
            "telephone_number": "413-866-2121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GYAWALI",
        "first_name": "SMITA",
        "middle_name": "S",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-27",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA5755",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA61488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Guzman
• Jamie Guzman
• Kayla Guzman
• Michelle Annette Guzman
• Jerry A Gwilliam, DDS
• Craig P. Gyory, MD
• Deborah Ungar Gyory, RN, CRNA
• David Ha
• Kit Ha, PHARM. D
• Curtis J Haake, D.C.

• All providers in Walnut Creek, CA
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.
• 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.