Individual provider Active NPI

Maximillian Von Schlegell, PA-C

  • Medical Physician Assistant
  • Fountain Valley, CA
National Provider Identifier
1386527935
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA68052 Issued in CA
Practice address
8700 Warner Ave Ste 140
Fountain Valley, CA 92708-3209
Phone
(714) 850-7300
NPI assigned
Jul 30, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA68052 CA
Medical Physician Assistant 363AM0700X PA68052 CA Primary

Addresses

Primary practice location

8700 Warner Ave Ste 140
Fountain Valley, CA 92708-3209

Mailing address

8700 Warner Ave Ste 140
Fountain Valley, CA 92708-3209

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1753833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1386527935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 WARNER AVE STE 140",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 WARNER AVE STE 140",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083209",
            "telephone_number": "714-850-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VON SCHLEGELL",
        "first_name": "MAXIMILLIAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-30",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA68052",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA68052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.