Active NPI
Jennifer Swisher, PA-C
- Surgical Physician Assistant
- Orange, CA
National Provider Identifier
1053753913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA23092
- Practice address
- 230 S Main St
Suite 100
Orange, CA 92868-3851 - Phone
- (714) 541-0101
- Fax
- (714) 541-0450
- NPI assigned
- Jul 20, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA23092 | CA | Primary |
Addresses
Primary practice location
230 S Main St
Suite 100
Orange, CA 92868-3851
Mailing address
230 S Main St
Suite 100
Orange, CA 92868-3851
Phone (714) 541-0101
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA23092 | CA | MD | Surgical Physician Assistant |
Interoperability endpoints
- jennifer.swisher@166622370791428.direct.elationemr.com
Organizations & group practices 3
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.
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- Medical Specialty Clinic/Center
- Newport Beach, CA
- NPI 1922061779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399420800000",
"number": "1053753913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 S MAIN ST",
"address_2": "SUITE 100",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683851",
"telephone_number": "714-541-0101",
"fax_number": "714-541-0450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 S MAIN ST",
"address_2": "SUITE 100",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683851",
"telephone_number": "714-541-0101",
"fax_number": "714-541-0450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWISHER",
"first_name": "JENNIFER",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-20",
"last_updated": "2014-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CA",
"license": "PA23092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.