Active NPI
Alice Lise Wekall, PA
- Physician Assistant
- Anaheim, CA
National Provider Identifier
1205925799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA11310
- Practice address
- 1814 W Lincoln Avenue
Anaheim, CA 92801-6730 - Phone
- (714) 780-5690
- Fax
- (714) 780-5696
- NPI assigned
- Oct 12, 2006
- Sex
- Female
- 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 | PA11310 | CA | Primary |
Addresses
Primary practice location
1814 W Lincoln Avenue
Anaheim, CA 92801-6730
Mailing address
1600 E Hill Street
Signal Hill, CA 90755-3682
Phone (562) 424-6200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WPA11310M | Medicaid | CA |
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 |
|---|---|---|---|
| 11310 | CA | MD | Occupational Therapist |
| PA11310 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205925799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 E HILL STREET",
"city": "SIGNAL HILL",
"state": "CA",
"postal_code": "907553682",
"telephone_number": "562-424-6200",
"fax_number": "562-427-4634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1814 W LINCOLN AVENUE",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928016730",
"telephone_number": "714-780-5690",
"fax_number": "714-780-5696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEKALL",
"first_name": "ALICE",
"middle_name": "LISE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA11310",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "WPA11310M",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, 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.