Active NPI
Emeri Palacio
- Physician Assistant
- Seaside, CA
National Provider Identifier
1972294098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 64097
- Practice address
- 1513 Fremont Blvd Ste E1
Seaside, CA 93955-4319 - Phone
- (831) 899-1910
- NPI assigned
- May 18, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 64097 | CA | Primary |
Addresses
Primary practice location
1513 Fremont Blvd Ste E1
Seaside, CA 93955-4319
Mailing address
100 Wilson Rd Ste 100
Monterey, CA 93940-7885
Phone (831) 649-1000
Other practice location 1
3100 Telegraph Ave
Oakland, CA 94609-3239
Phone (800) 607-6377
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3130 Del Monte Blvd
Marina, CA 93933-3047
Phone (831) 883-3330
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64097 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seaside Doctors on Duty | Past | Accepting new patients |
Interoperability endpoints
- epalacio19264@direct.svmh.com
Organizations & group practices 2
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.
-
- Urgent Care Clinic/Center
- Salinas, CA
- NPI 1568465466
-
- Non-Pharmacy Dispensing Site
- Seaside, CA
- NPI 1023450855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712534400000",
"number": "1972294098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 WILSON RD STE 100",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939407885",
"telephone_number": "831-649-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1513 FREMONT BLVD STE E1",
"city": "SEASIDE",
"state": "CA",
"postal_code": "939554319",
"telephone_number": "831-899-1910"
}
],
"practiceLocations": [
{
"address_1": "3100 Telegraph Ave",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "946093239",
"country_code": "US",
"telephone_number": "800-607-6377",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PALACIO",
"first_name": "EMERI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-18",
"last_updated": "2024-04-08",
"certification_date": "2024-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "64097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seaside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.