Individual provider Active NPI

Felicia Danell Markham-Dickson, PA-C

  • Physician Assistant
  • Alhambra, CA
National Provider Identifier
1164423422
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA16982 Issued in CA
Practice address
100 Huntington Dr.
Suite 209
Alhambra, CA 91801-1022
Phone
(323) 767-8885
NPI assigned
Aug 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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 PA16982 CA Primary

Addresses

Primary practice location

100 Huntington Dr.
Suite 209
Alhambra, CA 91801-1022

Mailing address

100 Huntington Dr.
Suite 209
Alhambra, CA 91801

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
I20050413000448 CA Practitioner - Physician Assistant 5395782171 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Group practices
California Wound Healing Medical Group Inc.Group PAC ID 7315033198, 21 clinicians

Practice addresses (Care Compare)

5800 W Wilson St
Banning, CA 92220-3042
Phone (323) 264-7796

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA16982CAMDPhysician Assistant
16982CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Hope Podiatry Group Inc. CurrentSince May 1, 2025 Accepting new patients
Keen Medical Group Inc Past Accepting new patients

Locations

100 E Huntington Dr
Ste 209
Alhambra, CA 91801
Phone (323) 262-4146

5800 W Wilson St
Banning, CA 92220
Phone (323) 262-4146

3612 E 1st St
#1-2
Los Angeles, CA 90063
Phone (323) 262-4146

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1164423422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HUNTINGTON DR.",
            "address_2": "SUITE 209",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "91801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HUNTINGTON DR.",
            "address_2": "SUITE 209",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918011022",
            "telephone_number": "323-767-8885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKHAM-DICKSON",
        "first_name": "FELICIA",
        "middle_name": "DANELL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA16982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

Verify at the official NPI Registry.