Active NPI
Heba Marzouk Al-Shoubaki, PA-C
- Physician Assistant
- Orange, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA58597
- Practice address
- 2501 E Chapman Ave Ste 306
Orange, CA 92869-3204 - Phone
- (714) 628-3230
- NPI assigned
- Oct 1, 2020
- Last updated
- Feb 9, 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA58597 | CA | Primary |
Addresses
Primary practice location
2501 E Chapman Ave Ste 306
Orange, CA 92869-3204
Mailing address
2501 E Chapman Ave Ste 306
Orange, CA 92869-3204
Phone (714) 628-3230
Other practice location 1
505 E Commonwealth Ave
Fullerton, CA 92832-2020
Phone (714) 399-4571
Other practice location 2
201 S Buena Vista St Ste 100
Burbank, CA 91505-4570
Phone (818) 848-6404
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Glendale, CA 91202
1950 Sunny Crest Dr
Suite 2900
Fullerton, CA 92835-3641
Phone (714) 992-5350
2501 E Chapman Ave
Orange, CA 92869-3204
Phone (714) 633-7175
401 Old Newport Blvd
Suite 201
Newport Beach, CA 92663-4289
Phone (949) 478-7373
501 S Buena Vista St
Burbank, CA 91505-4809
Phone (818) 847-3022
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.26 of 100
- Quality
- 84.3
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58597 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| PA58597 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Medical Institute | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Institute | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Institute | Past | Accepting new patients |
Locations
200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841
201 S Buena Vista St
Ste 100
Burbank, CA 91505
Phone (818) 848-6404
100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200
1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835
File 57326
Los Angeles, CA 90074
2501 E Chapman Ave
Ste 306
Orange, CA 92869
Phone (714) 628-3230
200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Brea, CA
- NPI 1871607762
-
dba Providence Little Company of Mary Medical Institute
- Family Medicine Physician
- Torrance, CA
- NPI 1417915760
-
- Cardiovascular Disease Physician
- Newport Beach, CA
- NPI 1528202363
-
- Family Medicine Physician
- San Diego, CA
- NPI 1578672184
-
- Geriatric Medicine (Family Medicine) Physician
- Long Beach, CA
- NPI 1033164017
-
- Family Medicine Physician
- Anaheim, CA
- NPI 1639715709
-
dba Providence Little Company of Mary Medical Institute
- Family Medicine Physician
- Torrance, CA
- NPI 1235182569
-
dba Providence Little Company of Mary Medical Institute
- Family Medicine Physician
- Torrance, CA
- NPI 1760425862
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1558463927
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770595200000",
"number": "1548867666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 E CHAPMAN AVE STE 306",
"city": "ORANGE",
"state": "CA",
"postal_code": "928693204",
"telephone_number": "714-628-3230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 E CHAPMAN AVE STE 306",
"city": "ORANGE",
"state": "CA",
"postal_code": "928693204",
"telephone_number": "714-628-3230"
}
],
"practiceLocations": [
{
"address_1": "505 E Commonwealth Ave",
"address_purpose": "LOCATION",
"city": "Fullerton",
"state": "CA",
"postal_code": "928322020",
"country_code": "US",
"telephone_number": "714-399-4571",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "201 S Buena Vista St Ste 100",
"address_purpose": "LOCATION",
"city": "Burbank",
"state": "CA",
"postal_code": "915054570",
"country_code": "US",
"telephone_number": "818-848-6404",
"fax_number": "818-848-7112",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AL-SHOUBAKI",
"first_name": "HEBA",
"middle_name": "MARZOUK",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-01",
"last_updated": "2026-02-09",
"certification_date": "2026-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA58597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; 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.