Individual provider Active NPI

Alicia Eller

  • Medical Physician Assistant
  • Murrieta, CA
National Provider Identifier
1003207812
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA51998 Issued in CA
Practice address
38860 Sky Canyon Dr
Murrieta, CA 92563-2518
Phone
(951) 375-7972
Fax
(877) 657-8718
NPI assigned
Feb 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA51998 CA Primary

Addresses

Primary practice location

38860 Sky Canyon Dr
Murrieta, CA 92563-2518

Mailing address

38860 Sky Canyon Dr
Murrieta, CA 92563-2518
Phone (951) 375-7972

Other names 1

  • Alicia Ausdahl Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150302001022 CA Practitioner - Physician Assistant 4284950668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southern California Spine and Joint Institute PCGroup PAC ID 6901185040, 2 clinicians

Practice addresses (Care Compare)

38860 Sky Canyon Dr
BLDG a
Murrieta, CA 92563-2518
Phone (951) 696-2215

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA51998CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Spine & Joint Institute, PC CurrentSince Sep 1, 2025 Accepting new patients

Locations

38860 Sky Canyon Dr
Bldg A
Murrieta, CA 92563
Phone (442) 777-5920

38860 Sky Canyon Dr
Murrieta, CA 92563
Phone (951) 304-1100

Interoperability endpoints

  • Direct secure messaging: alicia.eller@scsajip-ca.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1424044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1003207812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38860 SKY CANYON DR",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925632518",
            "telephone_number": "951-375-7972",
            "fax_number": "877-657-8718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38860 SKY CANYON DR",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925632518",
            "telephone_number": "951-375-7972",
            "fax_number": "877-657-8718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLER",
        "first_name": "ALICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-16",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA51998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "AUSDAHL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.