Individual provider Active NPI

Erwin Roger Ozoa

  • Physician Assistant
  • Sacramento, CA
National Provider Identifier
1932373990
Registry record updated Apr 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA19693 Issued in CA
Practice address
4730 47TH Ave
Sacramento, CA 95824-3946
Phone
(916) 391-2229
Fax
(916) 391-2291
NPI assigned
Apr 21, 2008
Last updated
Apr 21, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2008

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 PA19693 CA Primary

Addresses

Primary practice location

4730 47TH Ave
Sacramento, CA 95824-3946

Mailing address

3441 Marysville Blvd
Sacramento, CA 95838-4512
Phone (916) 563-7230

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
I20080721000466 CA Practitioner - Physician Assistant 0446323687 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19693CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca CurrentSince Feb 3, 2025 Accepting new patients
Regents of the Univ of Ca CurrentSince Feb 3, 2025 Accepting new patients
River City Medical Group, Inc. Past Accepting new patients
Mdstat Urgent Care, Inc Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Everest Medical Group Inc Past Accepting new patients

Locations

2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030

2521 Stockton Blvd
Sacramento, CA 95817
Phone (916) 734-1104

2521 Stockton Blvd
Ste 5200
Sacramento, CA 95817
Phone (916) 734-2801

Organizations & group practices 9

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": "1208736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208736000000",
    "number": "1932373990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3441 MARYSVILLE BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958384512",
            "telephone_number": "916-563-7230",
            "fax_number": "916-563-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 47TH AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958243946",
            "telephone_number": "916-391-2229",
            "fax_number": "916-391-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OZOA",
        "first_name": "ERWIN",
        "middle_name": "ROGER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-21",
        "last_updated": "2008-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA19693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.