Active NPI
Adelaide Abiemo, PAC
- Physician Assistant
- Lake Elsinore, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA 19613
- 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, 2025
- 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 | 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
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 19613 | CA | MD | Mental Health Counselor |
| PA 19613 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inland Urgent Care a Medical Corporation | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Current | 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
- 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.
-
dba Optum
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
-
dba Optum
- Durable Medical Equipment & Medical Supplies
- Murrieta, CA
- NPI 1760057269
-
dba Inland Urgent Care Corona
- Urgent Care Clinic/Center
- Corona, CA
- NPI 1013369321
-
dba Choice Psychiatric Medical Group
- Sleep Medicine (Psychiatry & Neurology) Physician
- Corona, CA
- NPI 1770889545
-
dba Centinela Hospital Medical Center
- General Acute Care Hospital
- Inglewood, CA
- NPI 1336328244
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.