MRS. ROZINA BAVARSADE OMIDI PA-C
NPI 1558952804
Physician Assistant in Fair Oaks, CA

Active since January 29, 2021PECOS EnrolledAccepts Medicare Assignment
11634 FAIR OAKS BLVD, FAIR OAKS, CA 95628(916) 983-8868 Get Directions Write a Review

NPPES record last updated: January 15, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Rozina Bavarsade Omidi Pa-c NPPES

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

MRS. ROZINA BAVARSADE OMIDI PA-C (NPI 1558952804) is an individual physician assistant in Fair Oaks, California and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1558952804
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. ROZINA BAVARSADE OMIDICredential: PA-C
Location Address11634 FAIR OAKS BLVDFair Oaks, CA 95628-3771
Mailing Address8297 Lone Pine PlGranite Bay, CA 95746-7332 · (818) 987-4238
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 29, 2021
Last NPPES UpdateJanuary 15, 2024
NPPES CertifiedJanuary 15, 2024
NPI 1558952804 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.

11634 FAIR OAKS BLVD, Fair Oaks, CA 95628

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Rozina Bavarsade Omidi Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941615223
PECOS Enrollment IDI20210218002115
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 95628 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
14 suppliers56 claims112 services$5.89 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
12 suppliers21 claims23 services$1.00 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
2 suppliers13 claims1,380 services$0.10 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers18 claims18 services$193.14 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
6 suppliers19 claims19 services$26.07 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

Family Medicine
11634 FAIR OAKS BLVD
FAIR OAKS, CA 95628
Physician Assistant (Medical)
11634 FAIR OAKS BLVD
FAIR OAKS, CA 95628
Physician Assistant (Medical)
11634 FAIR OAKS BLVD
FAIR OAKS, CA 95628
Family Medicine
11634 FAIR OAKS BLVD
FAIR OAKS, CA 95628
Family Medicine
11634 FAIR OAKS BLVD
FAIR OAKS, CA 95628

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558952804, enumerated as an "individual" on January 29, 2021.

The provider is located at 11634 FAIR OAKS BLVD FAIR OAKS, CA 95628 and the phone number is (916) 983-8868.

Physician Assistant with taxonomy code 363A00000X.