Individual provider Active NPI

Justina K Zhang, PA-C

  • Medical Physician Assistant
  • Fountain Valley, CA
National Provider Identifier
1184344103
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
61563 Issued in CA
Practice address
11160 Warner Ave Ste 417
Fountain Valley, CA 92708-4056
Phone
(714) 424-9300
NPI assigned
Aug 30, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 61563 CA Primary

Addresses

Primary practice location

11160 Warner Ave Ste 417
Fountain Valley, CA 92708-4056

Mailing address

928 W 19TH St
Santa Ana, CA 92706-3518

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
I20251005000067 CA Practitioner - Physician Assistant 4082110341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orca Rehab IncGroup PAC ID 6901281484, 16 clinicians

Practice addresses (Care Compare)

101 E Valencia Mesa Dr
Fullerton, CA 92835-3809
Phone (714) 871-3280

13522 Newport Ave
Suite 102
Tustin, CA 92780-3707
Phone (714) 987-1121

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61563CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Orca Rehab Inc CurrentSince Jul 10, 2025 Accepting new patients
Amirpasha Ehsan MD, Inc Past Accepting new patients

Locations

101 E Valencia Mesa Dr
Fullerton, CA 92835
Phone (714) 446-7505

4070 Jurupa Ave
Riverside, CA 92506
Phone (949) 239-4410

13522 Newport Ave
Ste 102
Tustin, CA 92780
Phone (714) 573-8200

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EEJEAA/Endpoint/EEJEAA

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1184344103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 W 19TH ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927063518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11160 WARNER AVE STE 417",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084056",
            "telephone_number": "714-424-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHANG",
        "first_name": "JUSTINA",
        "middle_name": "K",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-30",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "61563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.