Individual provider Active NPI

Adelaide Abiemo, PAC

  • Physician Assistant
  • Lake Elsinore, CA
National Provider Identifier
1295900280
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 19613 Issued in CA
Practice address
425 Diamond Dr Ste 104&105
Lake Elsinore, CA 92530-4495
Phone
(951) 674-8779
Fax
(951) 674-1403
NPI assigned
Apr 29, 2008
Last updated
Nov 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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 PA 19613 CA Primary

Addresses

Primary practice location

425 Diamond Dr Ste 104&105
Lake Elsinore, CA 92530-4495

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203

Other practice location 1

575 E Hardy St
205
Inglewood, CA 90301-4036
Phone (310) 275-7575

Other names 1

  • Essi Bakari Former name

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
I20150921001994 CA Practitioner - Physician Assistant 6901817683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

16800 Lakeshore Dr
Suite 2
Lake Elsinore, CA 92530-4909
Phone (909) 605-8000

425 Diamond Dr
Suite 104And105
Lake Elsinore, CA 92530-4495
Phone (951) 674-8779

5957 W Ramsey St
Banning, CA 92220-3058
Phone (951) 845-0313

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19613CAMDMental Health Counselor
PA 19613CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Inland Urgent Care a Medical Corporation CurrentSince Jul 1, 2015 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Oct 1, 2024 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Oct 1, 2024 Accepting new patients
Prime Healthcare Centinela, LLC Past Accepting new patients
Aliuddin Khaja, MD., Inc Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

31588 Railroad Canyon Rd
Canyon Lake, CA 92587

2910 Jefferson St
Ste 100
Carlsbad, CA 92008
Phone (760) 729-8600

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

425 Diamond Dr
Ste 104105
Lake Elsinore, CA 92530
Phone (951) 674-8779

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

36320 Inland Valley Dr
Ste 307
Wildomar, CA 92595
Phone (909) 600-0110

Interoperability endpoints

  • Direct secure messaging: aabiemo25812@epiclp.direct-ci.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1295900280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-579-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 DIAMOND DR STE 104&105",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925304495",
            "telephone_number": "951-674-8779",
            "fax_number": "951-674-1403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "575 E Hardy St",
            "address_2": "205",
            "address_purpose": "LOCATION",
            "city": "Inglewood",
            "state": "CA",
            "postal_code": "903014036",
            "country_code": "US",
            "telephone_number": "310-275-7575",
            "fax_number": "310-623-6655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABIEMO",
        "first_name": "ADELAIDE",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-29",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA 19613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ESSI",
            "last_name": "BAKARI",
            "credential": "PAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake Elsinore, CA

Sources for this page

Verify at the official NPI Registry.