Individual provider Active NPI

Lindsay Taylor Zotovich Carmack, PA-C

  • Physician Assistant
  • Newport Beach, CA
National Provider Identifier
1588154231
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1441 Avocado Ave Ste 503
Newport Beach, CA 92660-7706
Phone
(949) 718-9020
NPI assigned
May 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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 Primary

Addresses

Primary practice location

1441 Avocado Ave Ste 503
Newport Beach, CA 92660-7706

Mailing address

4621 Perham Rd
Corona del Mar, CA 92625-3124
Phone (949) 300-6507

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
I20180615001352 CA Practitioner - Physician Assistant 7517212558 Reassigns benefits to 2 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
J Robert West MD IncGroup PAC ID 8729990973, 141 clinicians

Practice addresses (Care Compare)

17822 Beach Blvd
Suite 452
Huntington Beach, CA 92647-7542
Phone (714) 848-5851

30201 Golden Lantern
Suite B
Laguna Niguel, CA 92677-5926
Phone (949) 363-1788

3828 Schaufele Ave
Suite 300
Long Beach, CA 90808-1793
Phone (562) 543-0469

Merit-based Incentive Payment System (MIPS)

Final score
85.17 of 100Reported as group
Quality
74.51
Promoting interoperability
92
Improvement activities
40
Cost
82.72

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
J Robert West, M.D., Inc CurrentSince Oct 20, 2023 Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients
J. Robert West, M.D., Inc Past Accepting new patients

Locations

500 S Anaheim Hills Rd
Ste 210
Anaheim, CA 92807
Phone (714) 974-3272

17822 Beach Blvd
Ste 452
Huntington Beach, CA 92647
Phone (714) 848-5851

30201 Golden Lantern
Ste B
Laguna Niguel, CA 92677
Phone (949) 363-1788

3828 Schaufele Ave
Ste 300
Long Beach, CA 90808
Phone (562) 997-1144

12700 Park Central Dr
Ste 1210
Dallas, TX 75251
Phone (702) 360-2763

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1588154231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4621 PERHAM RD",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926253124",
            "telephone_number": "949-300-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 AVOCADO AVE STE 503",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607706",
            "telephone_number": "949-718-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMACK",
        "first_name": "LINDSAY",
        "middle_name": "TAYLOR ZOTOVICH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-17",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.