Individual provider Active NPI

James Aloysius McKelvey IV, PA-C

  • Physician Assistant
  • Huntington Beach, CA
National Provider Identifier
1386916229
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
22107 Issued in CA
Practice address
8101 Newman Ave
Suite a
Huntington Beach, CA 92647-7042
Phone
(714) 698-8580
Fax
(714) 698-8581
NPI assigned
Feb 8, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2012

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 22107 CA Primary

Addresses

Primary practice location

8101 Newman Ave
Suite a
Huntington Beach, CA 92647-7042

Mailing address

8101 Newman Ave
Suite a
Huntington Beach, CA 92647-7042

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
I20120518000243 CA Practitioner - Physician Assistant 1759544380 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yasser Salem MD Professional CorpGroup PAC ID 2668468059, 3 clinicians

Practice addresses (Care Compare)

631 S Brookhurst St
Anaheim, CA 92804-3558
Phone (714) 545-5200

8101 Newman Ave
Suite D
Huntington Beach, CA 92647-7042
Phone (714) 545-5200

Hospital & facility affiliations

  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
96.39
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22107CAMDPediatric Nurse Practitioner

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354060800000",
    "number": "1386916229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 NEWMAN AVE",
            "address_2": "SUITE A",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926477042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 NEWMAN AVE",
            "address_2": "SUITE A",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926477042",
            "telephone_number": "714-698-8580",
            "fax_number": "714-698-8581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKELVEY",
        "first_name": "JAMES",
        "middle_name": "ALOYSIUS",
        "name_suffix": "IV",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-08",
        "last_updated": "2012-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "22107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.