Active NPI
Allan Bedashi, PA
- Physician Assistant
- Hemet, CA
National Provider Identifier
1174534838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA13564
- Practice address
- 1525 W Florida Ave
Hemet, CA 92543-3825 - Phone
- (951) 929-6777
- Fax
- (951) 658-8390
- NPI assigned
- Aug 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA13564 | CA | Primary |
Addresses
Primary practice location
1525 W Florida Ave
Hemet, CA 92543-3825
Mailing address
1525 W Florida Ave
Hemet, CA 92543-3825
Phone (951) 929-6777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA13564 | Other | CA | LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PA13564 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174534838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1525 W FLORIDA AVE",
"city": "HEMET",
"state": "CA",
"postal_code": "925433825",
"telephone_number": "951-929-6777",
"fax_number": "951-658-8390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 W FLORIDA AVE",
"city": "HEMET",
"state": "CA",
"postal_code": "925433825",
"telephone_number": "951-929-6777",
"fax_number": "951-658-8390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEDASHI",
"first_name": "ALLAN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA13564",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "PA13564",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hemet, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.