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CELINA PROVENCIO
NPI 1215691118
Physician Assistant in San Francisco, CA

Active since October 26, 2021PECOS Enrolled
2205 POST ST, SAN FRANCISCO, CA 94115(415) 390-6511(415) 592-1617 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Celina Provencio NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CELINA PROVENCIO (NPI 1215691118) is an individual physician assistant in San Francisco, California and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215691118
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCELINA PROVENCIO
Location Address2205 POST STSan Francisco, CA 94115-3427
Mailing Address1654 151st AveSan Leandro, CA 94578-1956 · (520) 240-5118
Phone(415) 390-6511
Fax(415) 592-1617
Sole ProprietorNo
Enumeration DateOctober 26, 2021
Last NPPES UpdateOctober 5, 2023
NPPES CertifiedOctober 5, 2023
✔ NPI 1215691118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2205 POST ST, San Francisco, CA 94115
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Celina Provencio is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EPHRAIM DICKINSON MD, INC
Orthopaedic Surgery
2205 POST ST
SAN FRANCISCO, CA 94115
San Francisco County (315) 256-4903
HOME LAB SERVICES
Technician, Pathology (Phlebotomy)
2205 POST ST
SAN FRANCISCO, CA 94115
San Francisco County (415) 299-2225
BREIANA ASHLYN BRADY PA-C
Physician Assistant
2205 POST ST
SAN FRANCISCO, CA 94115
San Francisco County (505) 220-3176

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Celina Provencio's NPI number?

The NPI number for Celina Provencio is 1215691118. It was assigned to this individual provider in the NPPES registry on October 26, 2021.

Where is Celina Provencio located?

Celina Provencio practices at 2205 Post St, San Francisco, CA 94115. The listed phone number is (415) 390-6511.

What is Celina Provencio's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Celina Provencio enrolled in Medicare?

Yes. Celina Provencio is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Celina Provencio was last updated on October 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.