Rena Alexa Palmer, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

64397 Issued in CA

Practice address

11 Porcelana
Rancho Santa Margarita, CA 92688-3425

Phone

(949) 616-4501

NPI assigned

Apr 22, 2024

Last updated

Apr 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Derm Lounge PC

  dba Derm Lounge

  • Dermatology Physician
  • Anaheim, CA
  • NPI 1962260208
  Medicare reassignment NPD
• California Dermatology Institute PC

  dba California Dermatology Institute

  • Dermatology Physician
  • Thousand Oaks, CA
  • NPI 1235671389
  Medicare reassignment

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1205681350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 PORCELANA",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926883425",
            "telephone_number": "949-616-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 PORCELANA",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926883425",
            "telephone_number": "949-616-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "RENA",
        "middle_name": "ALEXA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "64397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orest Frangopol, DDS, Inc. (Dental Arts Center of Rancho Santa Margarita)
• Orly Taitz, Inc
• Matthew Kurt Ortiz, MPT, CSCS
• Catherine Moreno Ostowari, M.A.,LMFT
• Gene J Pak, DDS
• Pan Patel (MedsRx Pharmacy)
• Tiffany Lynn Panick, P.T.
• Parajon Dental Group Inc
• Carlos J Parajon, DDS
• Jenny Y Park, O.D.

• Physician Assistant in Rancho Santa Margarita, CA
• Providers in Rancho Santa Margarita, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.