Jennifer Kiyomi Arakaki

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA61875 Issued in CA

Practice address

800 N Tustin Ave Ste G
Santa Ana, CA 92705-3605

Phone

(714) 547-6111

NPI assigned

Dec 29, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tony N Nakhla DO IncGroup PAC ID 3678600715, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Tony N. Nakhla, D.O., Inc.

  • Dermatology Physician
  • Santa Ana, CA
  • NPI 1730411794
  Medicare reassignment Care Compare group
• Qazi Cosmetic Clinic

  • Dermatology Physician
  • Newport Beach, CA
  • NPI 1306688924
  NPD

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

{
    "created_epoch": "1672272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1669185104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5722 E STILLWATER AVE UNIT 30",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928693188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N TUSTIN AVE STE G",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053605",
            "telephone_number": "714-547-6111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20271 SW Birch St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926601714",
            "country_code": "US",
            "telephone_number": "949-336-7293",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1441 Avocado Ave Ste 607",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926607707",
            "country_code": "US",
            "telephone_number": "714-547-6111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARAKAKI",
        "first_name": "JENNIFER",
        "middle_name": "KIYOMI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-29",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA61875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Applied Orthotic Systems LTD
• Approach Learning and Assessment Center, Inc.
• Aqui Community Dental Health Center
• Avery Aquilanti
• Shayne Aquino
• Elika Aram
• Martha Arambula
• Alma Moreno Aranda, LPT
• Gema Veronica Aranda
• Ruben Jose Aranda

• Physician Assistant in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.