Maurice Anthony Adkins, P.A.
Individual provider Active NPI Medical Physician Assistant · Hollywood, CA
NPI 1194079004 · NPPES record last updated Jul 7, 2023
Key facts
- NPI
- 1194079004
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- PA22653 (CA)
- Practice address
- 6430 Selma Ave
Hollywood, CA 90028-7311 - Phone
- (323) 848-4522
- NPI assigned
- Oct 30, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- University of Washington School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southern California Permanente Medical Group
Practice addresses (Care Compare)
3430 E la Palma Ave
Anaheim, CA 92806-2020
Phone (888) 988-2800
3460 E la Palma Ave
Anaheim, CA 92806-2020
Phone (714) 644-2010
5475 E la Palma Ave
Anaheim, CA 92807-2075
Phone (714) 279-6088
6640 Alton Pkwy
Irvine, CA 92618-3734
Phone (949) 932-5000
6650 Alton Pkwy
Irvine, CA 92618-3734
Phone (949) 932-5000
6670 Alton Pkwy
Irvine, CA 92618-3734
Phone (949) 932-5000
Hospital & facility affiliations
- Kaiser Foundation Hospital - Orange County - Anaheim
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121206000521 | CA | Practitioner - Physician Assistant | 2062664519 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22653 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Permanente Medical Group | Current |
Accepting new patients | |
| Southern California Permanente Medical Group | Current |
Accepting new patients | |
| The Berkeley Clinic, Inc | Past |
Accepting new patients | |
| Hollywood Walk in Clinic | Past | Accepting new patients |
Locations
5475 E La Palma Ave
Anaheim, CA 92807
Phone (714) 279-6088
9961 Sierra Ave
Fontana, CA 92335
Phone (909) 427-3910
393 E Walnut St
Fl 5
Pasadena, CA 91188
Phone (310) 403-3235
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA22653 | CA | Yes |
Addresses
Primary practice location
6430 Selma Ave
Hollywood, CA 90028-7311
Mailing address
1339 S Ogden Dr
Apt #4
Los Angeles, CA 90019-2445
Phone (714) 457-8420
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
Other providers in Hollywood, CA
- Diego Roberto Abdelnur
- Cristen Adams
- Alisa a. Cross, M.D., Inc.
- Sheralan La Tryce Anderson
- Awad Anthony
- Canaan Arceneaux
- Justin Boye Levy Ashby
All providers in Hollywood, CA · Medical Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.