Fher Physician Assistant Inc.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

FHER PHYSICIAN ASSISTANT INC.

Practice address

20311 SW Birch St Ste 100
Newport Beach, CA 92660-1778

Phone

(949) 269-6142

Fax

(888) 507-7138

NPI assigned

Jan 24, 2025

Organization subpart

No

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

Authorized official

Name

Everardo Mejia, PA-C

Title

Owner

Phone

(133) 093-8752

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1737676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737676800000",
    "number": "1174335301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11513 CLAYMORE ST",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906703101",
            "telephone_number": "213-309-3875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20311 SW BIRCH ST STE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601778",
            "telephone_number": "949-269-6142",
            "fax_number": "888-507-7138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FHER PHYSICIAN ASSISTANT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-24",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A",
        "authorized_official_last_name": "MEJIA",
        "authorized_official_first_name": "EVERARDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "133-093-8752",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; 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.