Individual provider Active NPI

Fatema Zahra Dewji, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Rancho Santa Margarita, CA
National Provider Identifier
1609420348
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
63092 Issued in CA
Practice address
22431 Antonio Pkwy # B160-613
Rancho Santa Margarita, CA 92688-2804
Phone
(833) 477-2677
Fax
(833) 477-2677
NPI assigned
Jul 31, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00532000 NJ
Physician Assistant 363A00000X 63092 CA Primary

Addresses

Primary practice location

22431 Antonio Pkwy # B160-613
Rancho Santa Margarita, CA 92688-2804

Mailing address

22431 Antonio Pkwy # B160-613
Rancho Santa Margarita, CA 92688-2804
Phone (833) 477-2677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200127002133 NJ Practitioner - Physician Assistant 6406281153 Reassigns benefits to 2 organizations
I20250610001429 CA Practitioner - Physician Assistant 6406281153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthcare Service Partners IncGroup PAC ID 0648557363, 10 clinicians

Practice addresses (Care Compare)

1100 W Stewart Dr
Orange, CA 92868-3849
Phone (833) 477-2677

Hospital & facility affiliations

  • Providence St. Joseph Hospital Hospital, Orange, CA, CCN 050069

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
63092CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Assistant Specialists-California Inc Physician Assistant PastSince Oct 8, 2023 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 2

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": "1564531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1609420348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22431 ANTONIO PKWY # B160-613",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882804",
            "telephone_number": "833-477-2677",
            "fax_number": "833-477-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22431 ANTONIO PKWY # B160-613",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882804",
            "telephone_number": "833-477-2677",
            "fax_number": "833-477-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWJI",
        "first_name": "FATEMA",
        "middle_name": "ZAHRA",
        "name_prefix": "Ms.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-31",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00532000",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "63092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Santa Margarita, CA

Sources for this page

Verify at the official NPI Registry.