Individual provider Active NPI

Layla Shirkhorshidi, PA-C

  • Physician Assistant
  • Orange, CA
National Provider Identifier
1114653144
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
431 S Batavia St Ste 101
Orange, CA 92868-3937
Phone
(714) 363-3300
Fax
(714) 363-3487
NPI assigned
Aug 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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

431 S Batavia St Ste 101
Orange, CA 92868-3937

Mailing address

431 S Batavia St Ste 101
Orange, CA 92868-3937
Phone (714) 363-3300

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address acohlmia@ocveinmd.com Direct

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
I20221029000273 CA Practitioner - Physician Assistant 7618344938 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sun Medical Group IncGroup PAC ID 8426388810, 19 clinicians
Advanced Vein Center, Inc.Group PAC ID 9335220201, 3 clinicians

Practice addresses (Care Compare)

1711 W Katella Ave
Anaheim, CA 92804-6450
Phone (714) 337-9393

27522 Antonio Pkwy
Suite P3
Ladera Ranch, CA 92694-2166
Phone (949) 207-3786

431 S Batavia St
Suite 101
Orange, CA 92868-3937
Phone (714) 955-5960

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sun Medical Group, Inc. CurrentSince Sep 1, 2024 Accepting new patients

Locations

1711 W Katella Ave
Anaheim, CA 92804
Phone (714) 337-9393

27522 Antonio Pkwy
Ste P3
Ladera Ranch, CA 92694
Phone (949) 207-3786

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4271/brand/1/csg/21/fhir/r4

Organizations & group practices 4

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": "1659312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1114653144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 S BATAVIA ST STE 101",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683937",
            "telephone_number": "714-363-3300",
            "fax_number": "714-363-3487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 S BATAVIA ST STE 101",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683937",
            "telephone_number": "714-363-3300",
            "fax_number": "714-363-3487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRKHORSHIDI",
        "first_name": "LAYLA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-01",
        "last_updated": "2022-08-01",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "acohlmia@ocveinmd.com",
            "affiliation": "N",
            "endpointDescription": "practice HIPAA compliant email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "431 S Batavia St Ste 101",
            "city": "Orange",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928683937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.