Mia'Ariarna Kilekas, PA-C, MSPA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA61323 Issued in CA

Practice address

2298 Pacific Ave
Costa Mesa, CA 92627-4867

Phone

(714) 788-1153

NPI assigned

Jun 10, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Leur Medicine IncGroup PAC ID 0840512844, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Leur Medicine Inc

  • Dermatology Physician
  • Newport Beach, CA
  • NPI 1316340268
  Medicare reassignment Care Compare group
• Team Physicians of Southern California Medical Group, Inc.

  • Emergency Medicine Physician
  • Oceanside, CA
  • NPI 1225499015
  Medicare reassignment

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1013646306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2298 PACIFIC AVE",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926274867",
            "telephone_number": "714-788-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2298 PACIFIC AVE",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926274867",
            "telephone_number": "714-788-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILEKAS",
        "first_name": "MIA'ARIARNA",
        "credential": "PA-C, MSPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA61323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkilekas@une.edu",
            "affiliation": "N",
            "address_1": "2298 Pacific Ave",
            "city": "Costa Mesa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926274867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Khatiblou Chiropractic Corp
• Khodayar Khatiblou
• Khiem D. Dao, MD, Inc.
• Mariana Khoury
• Kyndall Rae Kieler
• Allison Joy Killough
• Angela Eunkyung Kim, D.D.S
• Audrey Kim
• Chung Eun Kim
• Heidi Gina Kim

• Physician Assistant in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.