Individual provider Active NPI

Natalie Anastasia Nealeigh

  • Physician Assistant
  • Murrieta, CA
National Provider Identifier
1134572662
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA53905 Issued in CA
Practice address
25495 Medical Center Dr
Ste 204
Murrieta, CA 92562-4903
Phone
(951) 698-1901
Fax
(951) 698-8232
NPI assigned
Jul 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 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 PA53905 CA Primary

Addresses

Primary practice location

25495 Medical Center Dr
Ste 204
Murrieta, CA 92562-4903

Mailing address

25495 Medical Center Dr
Ste 204
Murrieta, CA 92562-4903
Phone (951) 698-1901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53905CAMDMarriage & Family Therapist

Interoperability endpoints

  • Direct secure messaging: nan696pcs@m1390.primeclinicalsystems.direct-ci.com
  • Direct secure messaging: nnealeigh182056@direct.llu.edu

NPI Registry JSON

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1134572662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25495 MEDICAL CENTER DR",
            "address_2": "STE 204",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925624903",
            "telephone_number": "951-698-1901",
            "fax_number": "951-698-8232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25495 MEDICAL CENTER DR",
            "address_2": "STE 204",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925624903",
            "telephone_number": "951-698-1901",
            "fax_number": "951-698-8232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEALEIGH",
        "first_name": "NATALIE",
        "middle_name": "ANASTASIA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-20",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA53905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.