Mona Attalla, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA18149 Issued in CA

Practice address

590 W Putnam Ave
2A
Porterville, CA 93257-3257

Phone

(559) 781-3700

Fax

(559) 781-4350

NPI assigned

Mar 30, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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

• Sequoia Family Medical Center, Inc

  • Rural Health Clinic/Center
  • Porterville, CA
  • NPI 1528016987
  NPD (past)
• Valley Healthcare Centers

  dba Sequoia Family Medical Center

  • Rural Health Clinic/Center
  • Earlimart, CA
  • NPI 1124643598
  NPD (past)
• Valley Healthcare Centers

  dba Sequoia Family Medical Center

  • Rural Health Clinic/Center
  • Lindsay, CA
  • NPI 1790331817
  NPD (past)

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073633301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 W PUTNAM AVE",
            "address_2": "2A",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573257",
            "telephone_number": "559-781-3700",
            "fax_number": "559-781-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 W PUTNAM AVE",
            "address_2": "2A",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573257",
            "telephone_number": "559-781-3700",
            "fax_number": "559-781-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATTALLA",
        "first_name": "MONA",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA18149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASST. LICENSE",
            "identifier": "PA18149",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Artius Dermatology Associates, P.C.
• Wendy Barbara Arzaga, P.A.
• Courtney Elyse Ashford, ACSW
• Ashok Behl MD Inc
• Emmanuel Anane Atsivor, M.D
• Clarissa Avalos
• Pamela Lynn Avila, FNP
• Vanessa Awad
• Awcs Medical, Inc.
• Wendmnew Achenef Ayalew, PA-C

• Physician Assistant in Porterville, CA
• Providers in Porterville, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.