Avita Md - Medicare in Los Altos, CA

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Avita Md is a medicare enrolled "Internal Medicine" provider in Los Altos, California. Their current practice location is 827 Altos Oaks Dr Ste 4, Los Altos, California. You can reach out to their office (for appointments etc.) via phone at (408) 495-5770.

Avita Md is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Avita Md is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1265121669.

Contact Information

Avita Md
827 Altos Oaks Dr Ste 4,
Los Altos, CA 94024-5490
(408) 495-5770
(650) 912-1129

Map and Direction




Healthcare Provider's Profile

Full NameAvita Md
TypeFacility
SpecialityInternal Medicine
Location827 Altos Oaks Dr Ste 4, Los Altos, California
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265121669
  • Provider Enumeration Date: 05/02/2023
  • Last Update Date: 04/09/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0446619852
  • Enrollment ID: O20230703001946

Medical Identifiers

Medical identifiers for Avita Md such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265121669NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Primary
207RB0002XInternal Medicine - Obesity Medicine (* (Not Available))Secondary
363A00000XPhysician Assistant (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Avita Md acts as a billing entity for following providers:
Provider NameDeborah R Salom
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1619947454
PECOS PAC ID: 1951367366
Enrollment ID: I20041207001237
Provider NamePatricia Roukee Sitnitsky
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1790896231
PECOS PAC ID: 3971547829
Enrollment ID: I20050613000617
Provider NameGanna Baetge
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1174883250
PECOS PAC ID: 1456587658
Enrollment ID: I20131118000964
Provider NameJyotsna Singh Vincent
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1427316835
PECOS PAC ID: 0941611248
Enrollment ID: I20201117002344
Provider NameFariha Ashraf
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1427518281
PECOS PAC ID: 9234500273
Enrollment ID: I20230130001497
Provider NamePamela Ruiz
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1760078976
PECOS PAC ID: 9436699337
Enrollment ID: I20240905004873
Provider NameHei Ieong Lou
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1225857642
PECOS PAC ID: 9032631205
Enrollment ID: I20250317003149
Provider NameClaire Daniels
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1386463552
PECOS PAC ID: 8628593993
Enrollment ID: I20250418001374
Provider NamePardeep Taunk
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1336643477
PECOS PAC ID: 6608270699
Enrollment ID: I20250820003457
Provider NameWhitney Stannard
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1467295600
PECOS PAC ID: 1759873201
Enrollment ID: I20251122000936
Provider NameSarah Downum
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1003784976
PECOS PAC ID: 8527553767
Enrollment ID: I20251224001375

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Avita Md is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Avita Md
827 Altos Oaks Dr Ste 4,
Los Altos, CA 94024-5490

Ph: (408) 495-5770		Avita Md
827 Altos Oaks Dr Ste 4,
Los Altos, CA 94024-5490

Ph: (408) 495-5770

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.