John Vincent Garcia Enverga, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

17742 Beach Blvd Ste 345
Huntington Beach, CA 92647-6872

Phone

(714) 375-4224

NPI assigned

Aug 8, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kathy Yu-Syken M D Inc a Medical CorporationGroup PAC ID 9133480429, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Kathy Yu-Syken, MD Inc a Medical Corporation

  • Pediatric Otolaryngology Physician
  • Huntington Beach, CA
  • NPI 1477071587
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1447805148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17742 BEACH BLVD STE 345",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476872",
            "telephone_number": "714-375-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17742 BEACH BLVD STE 345",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476872",
            "telephone_number": "714-375-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENVERGA",
        "first_name": "JOHN VINCENT",
        "middle_name": "GARCIA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-08",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirin F. Engineer, M.D.
• Alison Englar-Carlson, PHD
• Judith Anne Engstrom, L.C.S.W.
• Richard Allen Enns, M.D.
• Corinne Enos, MSW
• Samuel Mark Epstein
• Mary Erian, MA, CCC-SLP
• Eric L Sabol DC Chiropractic Corp
• Natasha Christine Erickson
• Tiffany Nicole Mori Erickson, PT, DPT

• Physician Assistant in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.

Verify at the official NPI Registry.