Individual provider Active NPI

Jessica Lindsay Swansbrough, P.A.

  • Physician Assistant
  • Huntington Beach, CA
National Provider Identifier
1649609090
Registry record updated May 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA23266 Issued in CA
Practice address
5888 Edinger Ave
Huntington Beach, CA 92649-1705
Phone
(714) 377-7469
Fax
(714) 846-7683
NPI assigned
Nov 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2015

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 PA23266 CA Primary

Addresses

Primary practice location

5888 Edinger Ave
Huntington Beach, CA 92649-1705

Mailing address

5888 Edinger Ave
Huntington Beach, CA 92649-1705
Phone (714) 377-7469

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
I20141030000033 CA Practitioner - Physician Assistant 9537380886 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA23266CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Physician Partners CurrentSince Jul 1, 2015 Accepting new patients
Southern California Permanente Medical Group CurrentSince Apr 10, 2018 Accepting new patients
First Choice Physician Partners CurrentSince Jul 1, 2015 Accepting new patients
Cep America-California CurrentSince Sep 1, 2015 Accepting new patients

Locations

5888 Edinger Ave
Huntington Beach, CA 92649
Phone (714) 377-7469

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

10800 Magnolia Ave
Riverside, CA 92505
Phone (951) 353-2000

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431475200000",
    "number": "1649609090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5888 EDINGER AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926491705",
            "telephone_number": "714-377-7469",
            "fax_number": "714-846-7683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5888 EDINGER AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926491705",
            "telephone_number": "714-377-7469",
            "fax_number": "714-846-7683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSBROUGH",
        "first_name": "JESSICA",
        "middle_name": "LINDSAY",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-06",
        "last_updated": "2015-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA23266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.