Stephanie Quilianna Fizzard, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA14810 Issued in CA

Practice address

25902 Tipperary LN
Lake Forest, CA 92630-8059

Phone

(949) 916-2924

NPI assigned

Jun 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Merit-based Incentive Payment System (MIPS)

Final score

96.69 of 100Reported as group

Quality

90

Improvement activities

40

Cost

78.43

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Cep America - California

  • Emergency Medicine Physician
  • Santa Ana, CA
  • NPI 1548667843
  Medicare reassignment
• Mission Viejo Emergency Medical Associates, Inc.

  • Emergency Medicine Physician
  • Laguna Beach, CA
  • NPI 1134355597
  Medicare reassignment
• Cep America - California

  • Emergency Medicine Physician
  • Anaheim, CA
  • NPI 1982078150
  NPD
• Grapevine Emergency Physicians Medical Group Inc

  • Emergency Medicine Physician
  • Santa Ana, CA
  • NPI 1982907770
  NPD (past)
• Mission Viejo Emergency Medical Associates

  • Emergency Medicine Physician
  • Mission Viejo, CA
  • NPI 1073542916
  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418774400000",
    "number": "1114953155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25902 TIPPERARY LN",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926308059",
            "telephone_number": "949-916-2924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25902 TIPPERARY LN",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926308059",
            "telephone_number": "949-916-2924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIZZARD",
        "first_name": "STEPHANIE",
        "middle_name": "QUILIANNA",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2014-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA14810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spencer Fetterman
• Rigoberto Fierro
• Fifth Optometric Care of California
• Alysa Finney
• First Choice Hearing Aid Center, Inc.
• Maria Fernanda Flores Zapien
• Britney Flores
• Casey Flores
• Destinee Flores
• Juliana Flores

• Physician Assistant in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; 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.

Verify at the official NPI Registry.