NPIMap

Individual provider Active NPI

Rocio Flores Neale, PA

  • Physician Assistant
  • Concord, CA
National Provider Identifier
1972072122
Registry record updated Nov 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA56301 Issued in CA
Practice address
2415 High School Avenue
Suite 800
Concord, CA 94520
Phone
(925) 687-5210
Fax
(925) 687-5091
NPI assigned
Nov 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 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 PA56301 CA Primary

Addresses

Primary practice location

2415 High School Avenue
Suite 800
Concord, CA 94520

Mailing address

4280 Thompson Dr
Concord, CA 94518-1854
Phone (925) 407-6615

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190211003030 CA Practitioner - Physician Assistant 8527306877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Clinica de la Raza IncGroup PAC ID 1557258282, 130 clinicians

Practice addresses (Care Compare)

2000 Sierra Rd
Concord, CA 94518-2905
Phone (925) 363-2000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56301CAMDPharmacist
PA56301CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
La Clinica de la Raza Inc CurrentSince Sep 1, 2019 Accepting new patients
La Clinica de la Raza Inc CurrentSince Sep 1, 2019 Accepting new patients
Cardinal Primary Care Medical Group, Inc Past Accepting new patients
La Clinica de la Raza, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rneale308552@direct.ochin.org
  • Direct secure messaging: rocio.neale.1@14789.direct.athenahealth.com

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1542326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542326400000",
    "number": "1972072122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4280 THOMPSON DR",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945181854",
            "telephone_number": "925-407-6615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 HIGH SCHOOL AVENUE",
            "address_2": "SUITE 800",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "94520",
            "telephone_number": "925-687-5210",
            "fax_number": "925-687-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEALE",
        "first_name": "ROCIO",
        "middle_name": "FLORES",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-16",
        "last_updated": "2018-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA56301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

Verify at the official NPI Registry.