Organization Active NPI

Healthcare Service Partners, Inc.

  • Surgical Physician Assistant
  • Rancho Santa Margarita, CA
National Provider Identifier
1356889265
Registry record updated Oct 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
HEALTHCARE SERVICE PARTNERS, INC.
Practice address
22431 Antonio Pkwy # B160-613
Rancho Santa Margarita, CA 92688-2804
Phone
(833) 477-2677
Fax
(833) 477-2677
NPI assigned
Feb 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2020

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

Authorized official

Name
William Paul Akrawi, MDNPI 1588619407
Title
Chief Executive Officer
Phone
(833) 477-2677

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X Primary

Addresses

Primary practice location

22431 Antonio Pkwy # B160-613
Rancho Santa Margarita, CA 92688-2804

Mailing address

22431 Antonio Pkwy # B160-613
Rancho Santa Margarita, CA 92688-2804
Phone (833) 477-2677

Other practice location 1

1100 W Stewart Dr
Orange, CA 92868-3849
Phone (714) 771-8000

Other practice location 2

27700 Medical Center Rd
Mission Viejo, CA 92691-6426
Phone (949) 364-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170508000664 CA Part B Supplier - Clinic/Group Practice 0648557363 Receives reassigned benefits from 17 practitioners
Practice locations: Irvine, CA; Laguna Beach, CA; Mission Viejo, CA; Orange, CA; Torrance, CA

National Provider Directory

National Provider Directory

Locations

22431 Antonio Pkwy
Ste 3160493
Rancho Santa Margarita, CA 92688

22431 Antonio Pkwy
Ste B160613
Rcho Sta Marg, CA 92688
Phone (833) 477-2677

22431 Antonio Pkwy
Ste B160
Rcho Sta Marg, CA 92688
Phone (816) 215-9817

Practitioners & affiliated clinicians

Practitioners 34

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1486684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603497600000",
    "number": "1356889265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22431 ANTONIO PKWY # B160-613",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882804",
            "telephone_number": "833-477-2677",
            "fax_number": "833-477-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22431 ANTONIO PKWY # B160-613",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882804",
            "telephone_number": "833-477-2677",
            "fax_number": "833-477-2677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 W Stewart Dr",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928683849",
            "country_code": "US",
            "telephone_number": "714-771-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27700 Medical Center Rd",
            "address_purpose": "LOCATION",
            "city": "Mission Viejo",
            "state": "CA",
            "postal_code": "926916426",
            "country_code": "US",
            "telephone_number": "949-364-1400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALTHCARE SERVICE PARTNERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-10",
        "last_updated": "2020-10-24",
        "certification_date": "2020-10-24",
        "status": "A",
        "authorized_official_last_name": "AKRAWI",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "833-477-2677",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Santa Margarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.