Active NPI
Kevin Lee Paschall, PA
- Physician Assistant
- Murrieta, CA
National Provider Identifier
1659916195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 57280
- Practice address
- 40700 California Oaks Rd Ste 205
Murrieta, CA 92562-5789 - Phone
- (951) 894-7575
- NPI assigned
- Nov 7, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 57280 | CA | Primary |
Addresses
Primary practice location
40700 California Oaks Rd Ste 205
Murrieta, CA 92562-5789
Mailing address
40700 California Oaks Rd Ste 205
Murrieta, CA 92562-5789
Phone (951) 894-7575
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250605000176 | CA | Order and Referring Only - Physician Assistant | 4183052566 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57280 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573084800000",
"number": "1659916195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40700 CALIFORNIA OAKS RD STE 205",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925625789",
"telephone_number": "951-894-7575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40700 CALIFORNIA OAKS RD STE 205",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925625789",
"telephone_number": "951-894-7575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASCHALL",
"first_name": "KEVIN",
"middle_name": "LEE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-07",
"last_updated": "2019-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "57280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murrieta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.