MYKEISHA ALZAATRA PA-C NPI 1629367172

NPI Information

NPI: 1629367172
Provider Name: MYKEISHA ALZAATRA, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
280 S MAIN ST STE 200
ORANGE, CA
ZIP 92868
Phone: (714) 634-4567
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Mykeisha Alzaatra, PA-C is a surgical physician assistant in Orange, CA. Mykeisha Alzaatra, PA-C NPI is 1629367172. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

280 S MAIN ST STE 200
ORANGE, CA
ZIP 92868-852
Phone: (714) 634-4567
Fax: (714) 634-4569

The NPI 1629367172 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/6/2011 and was last updated on 11/29/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	21530	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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