Active NPI
Lakeisha Sells, P.A.
- Physician Assistant
- San Diego, CA
National Provider Identifier
1417283540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA20633
- Practice address
- 34800 Bob Wilson Dr
San Diego, CA 92134-7826 - Phone
- (210) 365-6515
- NPI assigned
- Oct 23, 2009
- Last updated
- Nov 16, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA06506 | TX | |
| Physician Assistant | 363A00000X | PA20633 | CA | Primary |
Addresses
Primary practice location
34800 Bob Wilson Dr
San Diego, CA 92134-7826
Mailing address
34800 Bob Wilson Dr
San Diego, CA 92134-7826
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA20633 | CA | MD | Physician Assistant |
| PA06506 | TX | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289865600000",
"number": "1417283540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34800 BOB WILSON DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921347826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34800 BOB WILSON DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921347826",
"telephone_number": "210-365-6515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELLS",
"first_name": "LAKEISHA",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-23",
"last_updated": "2010-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA06506",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA20633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.