Individual provider Active NPI

Pauline Knight Saedler, PA-C

  • Physician Assistant
  • Santa Ana, CA
National Provider Identifier
1649259912
Registry record updated Jul 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA17030 Issued in CA
Practice address
1125 E 17TH Street
W 248
Santa Ana, CA 92701
Phone
(714) 547-5151
Fax
(714) 541-2016
NPI assigned
Jan 13, 2006
Last updated
Jul 17, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2009

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 PA17030 CA Primary

Addresses

Primary practice location

1125 E 17TH Street
W 248
Santa Ana, CA 92701

Mailing address

1125 E 17TH Street
W-248
Santa Ana, CA 92701
Phone (714) 547-5151

Other names 1

  • Pauline Knight Former name

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
I20090722000653 CA Practitioner - Physician Assistant 5890846141 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Utah School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J Robert West MD IncGroup PAC ID 8729990973, 141 clinicians

Practice addresses (Care Compare)

1125 E 17TH St
Suite W248
Santa Ana, CA 92701-2205
Phone (714) 547-5151

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

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

State licenses

LicenseStateTypeSpecialty
17030CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
J Robert West, M.D., Inc CurrentSince Nov 1, 2022 Accepting new patients
Lorrie J Klein MD Apc PastSince Oct 1, 2003 Accepting new patients
J. Robert West, M.D., Inc Past Accepting new patients

Locations

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

400 Newport Center Dr
Ste 702
Newport Beach, CA 92660
Phone (949) 644-0101

1125 E 17th St
Ste W248
Santa Ana, CA 92701
Phone (714) 547-5151

2285 Corporate Cir
Ste 200
Henderson, NV 89074
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": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247788800000",
    "number": "1649259912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 E 17TH STREET",
            "address_2": "W-248",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92701",
            "telephone_number": "714-547-5151",
            "fax_number": "714-541-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 E 17TH STREET",
            "address_2": "W 248",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92701",
            "telephone_number": "714-547-5151",
            "fax_number": "714-541-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAEDLER",
        "first_name": "PAULINE",
        "middle_name": "KNIGHT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-13",
        "last_updated": "2009-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA17030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULINE",
            "last_name": "KNIGHT",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.