Individual provider Active NPI

Megan Anne Hesser, P.A-C.

  • Physician Assistant
  • Marina del Rey, CA
National Provider Identifier
1649362955
Registry record updated Apr 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA18547 Issued in CA
Practice address
13160 Mindanao Way
Suite 300
Marina del Rey, CA 90292-6358
Phone
(310) 574-0400
NPI assigned
Sep 28, 2006
Last updated
Apr 8, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2011

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 PA18547 CA Primary

Addresses

Primary practice location

13160 Mindanao Way
Suite 300
Marina del Rey, CA 90292-6358

Mailing address

PO Box 712682
Los Angeles, CA 90071-7682
Phone (805) 680-9511

Other identifiers 1

IdentifierTypeStateIssuer
PA18547OtherCAMED LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PA18547CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Megan a. Selig Physician Assistant Inc. Past Accepting new patients

Organizations & group practices 1

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302220800000",
    "number": "1649362955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 712682",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900717682",
            "telephone_number": "805-680-9511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13160 MINDANAO WAY",
            "address_2": "SUITE 300",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926358",
            "telephone_number": "310-574-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESSER",
        "first_name": "MEGAN",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "P.A-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2011-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA18547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED LICENSE",
            "identifier": "PA18547",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marina del Rey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.