Sarah Namukono Kirya, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA11713 Issued in CA

Practice address

1720 W Ball Rd
4B
Anaheim, CA 92804-5500

Phone

(174) 254-0224

Fax

(714) 254-0234

NPI assigned

Oct 3, 2007

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

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.

• De la Paz Medical Centre Inc

  • Family Medicine Physician
  • Anaheim, CA
  • NPI 1447593868
  Medicare reassignment

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375660800000",
    "number": "1104013127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 W BALL RD",
            "address_2": "4 B",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928045500",
            "telephone_number": "714-254-0224",
            "fax_number": "714-254-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 W BALL RD",
            "address_2": "4B",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928045500",
            "telephone_number": "174-254-0224",
            "fax_number": "714-254-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRYA",
        "first_name": "SARAH",
        "middle_name": "NAMUKONO",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-03",
        "last_updated": "2013-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA11713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA11713",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Charles Kirby, D.O.
• Daniel Robert Kirchen
• Mary Waturi Kiriaku
• Callie Kirk, LMFT
• Lori Kirkland
• Ashlee Kay Kiser
• Madison Kistler
• Maya Kitada
• Kimberly Kitchen
• Alice Kitenza

• Medical Physician Assistant in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; 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.