Individual provider Active NPI

Scherezade Yasmine Egan, PA-C

  • Physician Assistant
  • Murrieta, CA
National Provider Identifier
1528666740
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA58666 Issued in CA
Practice address
25500 Medical Center Dr
Murrieta, CA 92562-5965
Phone
(858) 966-8800
NPI assigned
Oct 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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 PA58666 CA Primary

Addresses

Primary practice location

25500 Medical Center Dr
Murrieta, CA 92562-5965

Mailing address

3020 Childrens Way # Mc5003
San Diego, CA 92123-4223
Phone (858) 309-6300

Other practice location 1

3020 Childrens Way
San Diego, CA 92123-4223
Phone (858) 966-8800

Other names 1

  • Scherezade Hormozi Former name

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
I20220614000879 CA Practitioner - Physician Assistant 8123407657 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58666CAMDDentist
PA58666CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rady Children's Hospital San Diego CurrentSince Jun 6, 2024 Accepting new patients
Emergency Physicians Urgent Care Inc. CurrentSince Apr 15, 2022 Accepting new patients
Rady Children's Hospital San Diego CurrentSince Jun 6, 2024 Accepting new patients
Marilyn Kaufhold, M.D., a Medical Corporation PastSince Mar 31, 2024 Accepting new patients
VF Alliance, a Medical Corporation PastSince Oct 1, 2020 Accepting new patients
Vista Family Health Center,a Medical Corporation PastSince Oct 1, 2020 Accepting new patients

Locations

9710 Brimhall Rd
Bakersfield, CA 93312
Phone (661) 331-8640

212 Coffee Rd
Ste 100
Bakersfield, CA 93309
Phone (661) 885-6060

4108 Edison Ave
Ste 112
Chino, CA 91710
Phone (909) 334-4545

6789 N Blackstone Ave
Fresno, CA 93710
Phone (559) 512-3377

25170 Hancock Ave
Murrieta, CA 92562
Phone (858) 757-3277

25500 Medical Center Dr
Murrieta, CA 92562
Phone (951) 696-6000

3020 Childrens Way
#5003
San Diego, CA 92123
Phone (858) 309-6300

3020 Childrens Way
San Diego, CA 92123
Phone (858) 966-5841

41540 Winchester Rd
Temecula, CA 92590
Phone (951) 365-5585

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

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": "1602201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1528666740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 CHILDRENS WAY # MC5003",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234223",
            "telephone_number": "858-309-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25500 MEDICAL CENTER DR",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625965",
            "telephone_number": "858-966-8800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3020 Childrens Way",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921234223",
            "country_code": "US",
            "telephone_number": "858-966-8800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EGAN",
        "first_name": "SCHEREZADE",
        "middle_name": "YASMINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-09",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA58666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SCHEREZADE",
            "last_name": "HORMOZI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.