ROBERTO L ASSADABADI (P.A.) – Physician Assistant, NPI 1346486578
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,570 PHYSICIAN ASSISTANT in CA
Provider Addresses for ROBERTO L ASSADABADI (P.A.)
3701 J ST STE 201
SACRAMENTO, CA 958165542
Phone: (916) 454-2345
Type: Location
577 Las Palmas Ave
Sacramento, CA 958151607
Phone: (916) 924-6703
Fax: (916) 263-6981
Type: Location
101 Bodin Cir
Travis AFB, CA 94535
Phone: (707) 423-3735
Type: Location
101, Bodin Circle, Fairfield, Solano County, California, 94535, United States
TRAVIS AFB, CA 945351809
Phone: (707) 423-3735
Type: Mailing
1860 HOWE AVE STE 440
SACRAMENTO, CA 958251098
Phone: (916) 569-8484
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $24.
Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.
Last reported payment date: 2023-02-23 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($24).
Total Amount
$24
General + Research + Ownership
Payments
1
Total payment records
General Amount
$24
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-02-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $24 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-12-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101210000362 | I | Physician Assistant | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 95816)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | CA | |
| P S Y C H I A T R Y | CA | |
| - | CA | |
| P S Y C H I A T R Y | CA | |
| Infectious Disease, Internal Medicine | CA | |
| Internal Medicine, Infectious Disease | CA | |
| Internal Medicine | CA | |
| Diagnostic Radiology | CA | |
| P S Y C H I A T R Y | NY | |
| Nurse Practitioner | HI |
Reviews
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