Individual provider Active NPI

Jasmine Sedaghati, PA-C

  • Physician Assistant
  • Huntington Beach, CA
National Provider Identifier
1669126272
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA60740 Issued in CA
Practice address
8101 Newman Ave Ste B
Huntington Beach, CA 92647-7042
Phone
(714) 847-3030
NPI assigned
Feb 11, 2022
Last updated
Dec 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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 PA60740 CA Primary

Addresses

Primary practice location

8101 Newman Ave Ste B
Huntington Beach, CA 92647-7042

Mailing address

8101 Newman Ave Ste B
Huntington Beach, CA 92647-7042

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
I20220428001651 CA Practitioner - Physician Assistant 1456748391 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Nahla Salem M D IncGroup PAC ID 2860540762, 5 clinicians

Practice addresses (Care Compare)

23653 El Toro Rd
Suite B
Lake Forest, CA 92630-8614
Phone (949) 317-0312

631 S Brookhurst St
Suite 101
Anaheim, CA 92804-3563
Phone (714) 991-5700

8101 Newman Ave
Suite B
Huntington Beach, CA 92647-7042
Phone (714) 847-3030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60740CAMDDentist
PA60740CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Oc Urgentcare Medical Group Incorporated CurrentSince May 1, 2023 Accepting new patients

Locations

631 S Brookhurst St
Ste 101
Anaheim, CA 92804
Phone (714) 991-5700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ADEBBD

Organizations & group practices 3

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": "1644537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1669126272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 NEWMAN AVE STE B",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926477042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 NEWMAN AVE STE B",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926477042",
            "telephone_number": "714-847-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDAGHATI",
        "first_name": "JASMINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-11",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA60740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.