Jaclyn Kwan, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA51734 Issued in CA

Practice address

19000 Hawthorne Blvd Ste 100
Torrance, CA 90503-1517

Phone

(310) 542-3472

NPI assigned

Jul 16, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medhero San Clemente a Professional Medical CorporationGroup PAC ID 3971809740, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jkwan81230@scrippshlth.medalliesdirect.net
• Direct secure messaging: jaclyn.kwan@4294.securemail.prognocis.com

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.

• Medhero San Clemente, a Professional Medical Corporation

  • Urgent Care Clinic/Center
  • San Clemente, CA
  • NPI 1558736520
  Medicare reassignment Care Compare group
• San Dieguito Orthopedic Medical Center P C

  • Orthopaedic Surgery Physician
  • Encinitas, CA
  • NPI 1356433965
  Medicare reassignment NPD
• Jaclyn Kwan PA, Apc

  • Surgical Physician Assistant
  • Carlsbad, CA
  • NPI 1164024881
  NPD Authorized official
• Christopher L Sherman DO a Professional Medical Corporation

  • Orthopaedic Surgery Physician
  • San Diego, CA
  • NPI 1740501907
  Medicare reassignment
• San Diego Orthopaedic Associates Medical Group, Inc.

  • Multi-Specialty Clinic/Center
  • San Diego, CA
  • NPI 1407817448
  Medicare reassignment
• Sanjum Samagh, M.D. Inc.

  • Orthopaedic Surgery Physician
  • Encinitas, CA
  • NPI 1871081455
  Medicare reassignment
• Scripps Health

  dba Scripps Hospital Medical Services

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1487928891
  NPD
• MSK-US, Inc.

  • Diagnostic Ultrasound Physician
  • La Mesa, CA
  • NPI 1033404306
  NPD (past)

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

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455753600000",
    "number": "1598172181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19000 HAWTHORNE BLVD STE 100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905031517",
            "telephone_number": "310-542-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19000 HAWTHORNE BLVD STE 100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905031517",
            "telephone_number": "310-542-3472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWAN",
        "first_name": "JACLYN",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-16",
        "last_updated": "2016-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA51734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA STATE LICENSE NUMBER",
            "identifier": "PA51734",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA LICENSE NUMBER",
            "identifier": "1118385",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sally Kutsunai, PH.D.
• Michelle Alyssa Kuwabara, OTD, OTR/L
• Ray Kuwahara, D.D.S.
• John H. Kuwata, M.D.
• Jin Hee Kwak, DDS, MS
• Julia May Kwan, M.D.
• Karen W Kwan, M.D.
• Kathryn Kwan, OTR/L
• Wilson Kwan, M.D.
• Wing-Fai Kwan, M.D.

• Physician Assistant in Torrance, CA
• Providers in Torrance, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; 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.

Verify at the official NPI Registry.