Individual provider Active NPI

Terri M Rembuskos, PA-C

  • Physician Assistant
  • Los Alamitos, CA
National Provider Identifier
1689757627
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA17063 Issued in CA
Practice address
4772 Katella Ave Ste 200
Los Alamitos, CA 90720-2683
Phone
(562) 596-5552
Fax
(562) 596-5340
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 PA17063 CA Primary

Addresses

Primary practice location

4772 Katella Ave Ste 200
Los Alamitos, CA 90720-2683

Mailing address

4772 Katella Ave Ste 200
Los Alamitos, CA 90720-2683
Phone (562) 596-5552

Other practice location 1

1140 W La Veta Ave
Ste 555
Orange, CA 92868-4227
Phone (714) 835-5100

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
I20070109000256 CA Practitioner - Physician Assistant 5890795272 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Genesis Healthcare Partners PCGroup PAC ID 2163606807, 232 clinicians

Practice addresses (Care Compare)

1010 W la Veta Ave
Suite 570
Orange, CA 92868-4305
Phone (714) 835-7700

3801 Katella Ave
Suite 223
Los Alamitos, CA 90720-6904
Phone (562) 499-4183

4772 Katella Ave
Suite 200
Los Alamitos, CA 90720-2683
Phone (562) 596-5552

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17063CAMDSpeech-Language Pathologist
PA17063CAMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: terri.rembuskos.p4@direct.monarchhealthcare.nextgenshare.com
  • Direct secure messaging: terri.rembuskos.p24@direct.monarchhealthcare.nextgenshare.com
  • Direct secure messaging: terri.rembuskos.1@3663.direct.athenahealth.com
  • Direct secure messaging: terri.rembuskos.p6@direct.monarchhealthcare.nextgenshare.com

Organizations & group practices 2

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1689757627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4772 KATELLA AVE STE 200",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202683",
            "telephone_number": "562-596-5552",
            "fax_number": "562-596-5340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4772 KATELLA AVE STE 200",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202683",
            "telephone_number": "562-596-5552",
            "fax_number": "562-596-5340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1140 W La Veta Ave",
            "address_2": "Ste 555",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928684227",
            "country_code": "US",
            "telephone_number": "714-835-5100",
            "fax_number": "714-835-5567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REMBUSKOS",
        "first_name": "TERRI",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA17063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

Verify at the official NPI Registry.