Individual provider Active NPI

Janet Rhee

  • Physician Assistant
  • Costa Mesa, CA
National Provider Identifier
1194292193
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA56642 Issued in CA
Practice address
3195 Harbor Blvd Ste 3
Costa Mesa, CA 92626-2514
Phone
(714) 263-0227
Fax
(888) 972-1912
NPI assigned
Oct 28, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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 PA56642 CA Primary

Addresses

Primary practice location

3195 Harbor Blvd Ste 3
Costa Mesa, CA 92626-2514

Mailing address

504 Gadwall
Irvine, CA 92618-5930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221221000300 MI Practitioner - Physician Assistant 2365775046 Reassigns benefits to 1 organization
I20241126001473 CA Practitioner - Physician Assistant 2365775046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carbon Health Medical Group of California PCGroup PAC ID 9032340047, 335 clinicians

Practice addresses (Care Compare)

10165 Valley View St
Cypress, CA 90630-4602
Phone (714) 252-5016

1040 W Imperial Hwy
Suite D
La Habra, CA 90631-0608
Phone (714) 451-1072

14443 Culver Dr
14443 A
Irvine, CA 92604-0343
Phone (949) 767-8173

3195 Harbor Blvd
Suite 3
Costa Mesa, CA 92626-2514
Phone (714) 263-0227

3851 Katella Ave
Suite 100
Los Alamitos, CA 90720-3385
Phone (562) 430-4138

858 N Rose Dr
Suite C 2
Placentia, CA 92870-7522
Phone (714) 792-3736

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA56642CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Washtenaw Urgent Care Current Accepting new patients
Carbon Health Medical Group of California PC CurrentSince Nov 21, 2024 Accepting new patients

Locations

3195 Harbor Blvd
Ste 3
Costa Mesa, CA 92626
Phone (714) 263-0227

14443 Culver Dr
#14443A
Irvine, CA 92604
Phone (949) 767-8173

2944 Tapo Canyon Rd
Ste A
Simi Valley, CA 93063
Phone (805) 306-5990

3280 Washtenaw Ave
Ann Arbor, MI 48104
Phone (734) 225-9300

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": "1540684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1194292193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 GADWALL",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926185930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3195 HARBOR BLVD STE 3",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926262514",
            "telephone_number": "714-263-0227",
            "fax_number": "888-972-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHEE",
        "first_name": "JANET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-28",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA56642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

Verify at the official NPI Registry.