Individual provider Active NPI

Daphney Joseph

  • Physician Assistant
  • Los Angeles, CA
National Provider Identifier
1497249775
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
13389 Issued in GA
Practice address
5420 N Figueroa St
Los Angeles, CA 90042-4118
Phone
(323) 256-3884
NPI assigned
Jun 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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 13389 GA Primary

Addresses

Primary practice location

5420 N Figueroa St
Los Angeles, CA 90042-4118

Mailing address

5420 N Figueroa St
Los Angeles, CA 90042-4118

Other practice location 1

4218 Peachtree Rd NE Unit B
Brookhaven, GA 30319-3484
Phone (470) 750-7452

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220104002116 CA Practitioner - Physician Assistant 8022409937 Reassigns benefits to 1 organization
I20251107003414 GA Practitioner - Physician Assistant 8022409937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstreet of Georgia PCGroup PAC ID 7517126279, 425 clinicians

Practice addresses (Care Compare)

4218 Peachtree Rd NE
Unit B
Brookhaven, GA 30319-3484
Phone (470) 750-7452

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55902CAMDGeneral Practice Dentistry
13389GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstreet of Georgia PC CurrentSince Oct 17, 2025 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Sep 14, 2021 Accepting new patients
Wellstreet of Georgia PC CurrentSince Oct 17, 2025 Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

1365 S Grand Ave
Glendora, CA 91740
Phone (626) 385-1456

7000 Boulder Ave
Ste 103
Highland, CA 92346
Phone (515) 441-6271

2292 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 382-9941

4218 Peachtree Rd NE
Unit B
Brookhaven, GA 30319
Phone (470) 750-7452

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.

NPI Registry JSON

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1497249775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 N FIGUEROA ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900424118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 N FIGUEROA ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900424118",
            "telephone_number": "323-256-3884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4218 Peachtree Rd NE Unit B",
            "address_purpose": "LOCATION",
            "city": "Brookhaven",
            "state": "GA",
            "postal_code": "303193484",
            "country_code": "US",
            "telephone_number": "470-750-7452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "DAPHNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-19",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "13389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.