Active NPI
Anna Ryan Hepburn, PA-C
- Physician Assistant
- Newport Beach, CA
National Provider Identifier
1669129441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 60829
- Practice address
- 500 Superior Ave Ste 330
Newport Beach, CA 92663-3658 - Phone
- (949) 646-2800
- NPI assigned
- Mar 2, 2022
- Sex
- Female
- 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 | 60829 | CA | Primary |
Addresses
Primary practice location
500 Superior Ave Ste 330
Newport Beach, CA 92663-3658
Mailing address
22062 Cosala
Mission Viejo, CA 92691-1223
Phone (912) 585-3128
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60829 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646179200000",
"number": "1669129441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22062 COSALA",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926911223",
"telephone_number": "912-585-3128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 SUPERIOR AVE STE 330",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926633658",
"telephone_number": "949-646-2800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEPBURN",
"first_name": "ANNA",
"middle_name": "RYAN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-02",
"last_updated": "2022-03-02",
"certification_date": "2022-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "60829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.