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Gabriel Sousa , PA

Physician Assistant β€’ Modesto, CA

Active NPI 1285242032 Individual Practitioner Male Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

1114 6th St
Modesto, CA 953542203

Call 8666824842 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1114 6th St

Modesto, CA 953542203

Telephone 8666824842
Fax 8774361494
Organization at the Same NPPES Address or Phone
Golden Valley Health Center Facility NPI 1346224417

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Sutter Valley Medical Foundation. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2020

30-day fills

63 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$461 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

6 years (graduated 2020)

CMS Doctors and Clinicians data list 2020 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Gabriel Sousa has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Gabriel Sousa as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Modesto and California

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

Fewer Part D prescriptions than 80% of clinicians listed under Physician Assistant in Modesto, CA (2024, 68 clinicians with data). Median for this group: 151. Middle half: 52 to 535.

Fewer Part D prescriptions than 80% of clinicians listed under Physician Assistant in California (2024, 7,516 clinicians with data). Median for this group: 229. Middle half: 72 to 718.

Part D drug cost

A lower Part D drug cost than 65% of clinicians listed under Physician Assistant in Modesto, CA (2024, 68 clinicians with data). Median for this group: $1,434. Middle half: $340 to $16,591.

A lower Part D drug cost than 80% of clinicians listed under Physician Assistant in California (2024, 7,516 clinicians with data). Median for this group: $3,945. Middle half: $709 to $60,209.

122 active clinicians are listed under Physician Assistant with a practice address in Modesto, CA (14,458 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Modesto

14.8% of these 122 clinicians have the CMS telehealth indicator.

47.5% of these 122 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D Β· Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Fluticasone Propionate Fluticasone Propionate 22 1,050 $132.42 21
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 14 96 $55.48 14
Albuterol Sulfate Hfa Albuterol Sulfate 11 363 $273.37 β€”

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-11-30
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES CA 58744

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20210216001950

Enrollment State Jurisdiction

CA

PECOS Control ID

2264847706

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Sutter Valley Medical Foundation

600 Coffee Rd, Modesto, CA 953554201

Phone: 2095241211

Sutter Valley Medical Foundation

2800 L St, Sacramento, CA 958165616

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
NPI 1710409289

Doctor of Podiatric Medicine

Dr. John Abordo , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1982627675

Doctor of Podiatric Medicine

NPI 1790313203

MMSMPH, Physician Assistant (Certified)

NPI 1306283239

Doctor of Medicine (M.D.)

NPI 1528407582

Doctor of Medicine (M.D.)

Hazel May Bais , FNP

Nurse Practitioner - Family

NPI 1174265102

Family Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location November 30, 2020

Registered at 1114 6TH ST, MODESTO, CA 953542203 (Tel: 8666824842)

πŸ“
Updated Business Mailing Address November 30, 2020

Registered at 737 W CHILDS AVE, MERCED, CA 953416805 (Tel: 8666824842)

πŸ‘€
Provider Name / Credentials Updated November 30, 2020

Recorded as GABRIEL SOUSA, PA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2020

Physician Assistant (license number reported to NPPES: CA 58744)

βœ…
NPI Profile Active July 17, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 17, 2020

Registered at 4203 HORIZON CT, TURLOCK, CA 953827201 (Tel: 2096481015)

πŸ“
Business Mailing Address (Initial Record) July 17, 2020

Registered at 4203 HORIZON CT, TURLOCK, CA 953827201

πŸ‘€
Provider Name / Credentials (Initial Record) July 17, 2020

Recorded as GABRIEL SOUSA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2020

Physician Assistant

🟒
Initial NPI Registration & Enumeration July 17, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1285242032
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 17, 2020
Last Update: November 30, 2020
Sole Proprietor: No

Other Physician Assistants in Modesto

All Physician Assistants in Modesto

Mailing Address

737 W Childs Ave

Merced, CA 953416805

Phone: 8666824842

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.