Individual provider Active NPI

Najwa Lebada

  • Physician Assistant
  • Fountain Valley, CA
National Provider Identifier
1073009734
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
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

Updated by the provider on Aug 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210827003099 CA Practitioner - Physician Assistant 5496150401 Reassigns benefits to 1 organization

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
Yasser Salem MD Professional CorpGroup PAC ID 2668468059, 3 clinicians

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

  • FHIR API: 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.

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

Verify at the official NPI Registry.