Individual provider Active NPI

Ida Jelveh, PA-C, MSPAS, MPH

  • Surgical Physician Assistant
  • Laguna Niguel, CA
National Provider Identifier
1578049458
Registry record updated Jul 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA55747 Issued in CA
Practice address
28096 Edelweiss CT
Laguna Niguel, CA 92677-7006
Phone
(949) 291-0089
NPI assigned
Jul 13, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X PA55747 CA Primary

Addresses

Primary practice location

28096 Edelweiss CT
Laguna Niguel, CA 92677-7006

Mailing address

28096 Edelweiss CT
Laguna Niguel, CA 92677-7006
Phone (949) 291-0089

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
I20200127000695 CA Practitioner - Physician Assistant 7810322203 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
HMTS IncGroup PAC ID 1951750413, 118 clinicians

Practice addresses (Care Compare)

1190 Baker St
Suite 105
Costa Mesa, CA 92626-4105
Phone (714) 477-8460

15000 Kensington Park Dr
Suite 170
Tustin, CA 92782-1836
Phone (714) 477-8300

16205 Sand Canyon Ave
Suite 100
Irvine, CA 92618-3781
Phone (949) 557-0000

19582 Beach Blvd
Suite 180
Huntington Beach, CA 92648-5978
Phone (714) 477-8050

21115 Newport Coast Dr
Newport Beach, CA 92657-1122
Phone (949) 557-0730

26671 Aliso Creek Rd
Suite 101
Aliso Viejo, CA 92656-4807
Phone (949) 791-3107

49000 Barranca Pkwy
Suite 103
Irvine, CA 92604-8603
Phone (949) 791-3106

8607 Irvine Ctr Dr
Irvine, CA 92618-4219
Phone (949) 557-0600

Hospital & facility affiliations

  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

Merit-based Incentive Payment System (MIPS)

Final score
85.87 of 100Reported as group
Quality
84.39
Promoting interoperability
100
Improvement activities
40
Cost
68.52

Merit-based Incentive Payment System (MIPS)

Final score
87.51 of 100Reported as group
Quality
84.12
Promoting interoperability
100
Improvement activities
40
Cost
74.24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55747CAMDOrthodontics and Dentofacial Orthopedic Dentist
PA55747CAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hoag Hospital Past Accepting new patients

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531440000000",
    "number": "1578049458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28096 EDELWEISS CT",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926777006",
            "telephone_number": "949-291-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28096 EDELWEISS CT",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926777006",
            "telephone_number": "949-291-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JELVEH",
        "first_name": "IDA",
        "name_prefix": "Miss",
        "credential": "PA-C, MSPAS, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-13",
        "last_updated": "2018-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA55747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

Verify at the official NPI Registry.