Active NPI
Edna Ann Dean, PA-C
- Medical Physician Assistant
- Fillmore, CA
National Provider Identifier
1467425637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA 11401
- Practice address
- 552 Sespe Ave
Fillmore, CA 93015-1957 - Phone
- (805) 524-2000
- NPI assigned
- Feb 9, 2006
- Last updated
- Jul 13, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA 11401 | CA | Primary |
Addresses
Primary practice location
552 Sespe Ave
Fillmore, CA 93015-1957
Mailing address
407 Sierra Vista Ave
Fillmore, CA 93015-1669
Phone (805) 524-7070
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 |
|---|---|---|---|
| PA 11401 | CA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1467425637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 SIERRA VISTA AVE",
"city": "FILLMORE",
"state": "CA",
"postal_code": "930151669",
"telephone_number": "805-524-7070",
"fax_number": "805-524-1847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "552 SESPE AVE",
"city": "FILLMORE",
"state": "CA",
"postal_code": "930151957",
"telephone_number": "805-524-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAN",
"first_name": "EDNA",
"middle_name": "ANN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-09",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA 11401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fillmore, CA
- County of Ventura (VCBH - Fillmore Substance Use Services)
- County of Ventura (Fillmore Family Medical Group FQHC)
- County of Ventura (VCBH - Fillmore Youth & Family Mental Health)
- Ryan A Davis
- Mariela De Santiago
- Empower Bright Minds Psychology
- Epiphany Care Homes Inc (Rural Haven Home ICF/DD-H)
- Epiphany Care Homes Inc (Winter Haven Home ICF/DD-H)
- Gene Wayne Evans, D.D.S.
- Giselle Fernandez, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.