Active NPI
Jessica Jean Elderkin
- Physician Assistant
- Mission Viejo, CA
National Provider Identifier
1578330064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA64029
- Practice address
- 27800 Medical Center Rd Ste 109
Mission Viejo, CA 92691-6410 - Phone
- (949) 866-3600
- NPI assigned
- Dec 5, 2023
- Last updated
- Oct 4, 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 | PA64029 | CA | Primary |
Addresses
Primary practice location
27800 Medical Center Rd Ste 109
Mission Viejo, CA 92691-6410
Mailing address
27800 Medical Center Rd Ste 110
Mission Viejo, CA 92691-6407
Phone (949) 866-3600
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260403001871 | CA | Order and Referring Only - Physician Assistant | 0547745036 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA64029 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791072000000",
"number": "1578330064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27800 MEDICAL CENTER RD STE 110",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926916407",
"telephone_number": "949-866-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27800 MEDICAL CENTER RD STE 109",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926916410",
"telephone_number": "949-866-3600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELDERKIN",
"first_name": "JESSICA",
"middle_name": "JEAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-05",
"last_updated": "2026-10-04",
"certification_date": "2026-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA64029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mission Viejo, CA
- Justin Ekuan, M.D.
- Sherif M El Sokkary, M.D.
- Meg Elam, LCSW
- Ian Spencer Elario
- Patricia Ann Elbeck, RDO, RSLD,RCLD
- Eleonora S. Spokoyny M.D., Inc. (Affiliated Neurology Center)
- Wael Elgafarawy, NP
- Elite Care Homes, Inc. (Best Care Homes)
- Elite Interventional Radiology Consultants of California PC
- Hannah Elliott
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.