Active NPI
Najwa Lebada
- Physician Assistant
- Fountain Valley, CA
National Provider Identifier
1073009734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 11100 Warner Ave Ste 206
Fountain Valley, CA 92708-7511 - Phone
- (714) 546-1121
- Fax
- (714) 546-0428
- NPI assigned
- Jul 6, 2018
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
11100 Warner Ave Ste 206
Fountain Valley, CA 92708-7511
Mailing address
11100 Warner Ave Ste 206
Fountain Valley, CA 92708-7511
Phone (714) 546-1121
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
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1401 N Tustin Ave
Suite 350
Santa Ana, CA 92705-8658
Phone (714) 545-5200
631 S Brookhurst St
Anaheim, CA 92804-3558
Phone (714) 545-5200
8101 Newman Ave
Suite D
Huntington Beach, CA 92647-7042
Phone (714) 545-5200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BFEBBD/Endpoint/BFEBBD
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.
-
- Surgery Physician
- Huntington Beach, CA
- NPI 1861555138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629331200000",
"number": "1073009734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11100 WARNER AVE STE 206",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927087511",
"telephone_number": "714-546-1121",
"fax_number": "714-546-0428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11100 WARNER AVE STE 206",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927087511",
"telephone_number": "714-546-1121",
"fax_number": "714-546-0428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBADA",
"first_name": "NAJWA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-06",
"last_updated": "2021-08-19",
"certification_date": "2021-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.