Active NPI
Mikaela Scott, PA-C
- Physician Assistant
- North Hollywood, CA
National Provider Identifier
1790660223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 5031 Fair Ave Apt 257
North Hollywood, CA 91601-4370 - Phone
- (858) 413-5704
- NPI assigned
- Aug 6, 2025
- Last updated
- May 29, 2026
- 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 | Primary |
Addresses
Primary practice location
5031 Fair Ave Apt 257
North Hollywood, CA 91601-4370
Mailing address
5031 Fair Ave Apt 257
North Hollywood, CA 91601-4370
Phone (858) 413-5704
Other names 1
- Mikaela Matthews
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4055 Valley View LN
Suite 700
Dallas, TX 75244-4910
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| At Awe LLC | Past | Accepting new patients |
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.
-
- General Practice Physician
- San Francisco, CA
- NPI 1124685169
-
dba At Awe Congregate Living Health Facility
- Skilled Nursing Facility
- Moreno Valley, CA
- NPI 1881217974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780012800000",
"number": "1790660223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5031 FAIR AVE APT 257",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916014370",
"telephone_number": "858-413-5704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5031 FAIR AVE APT 257",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916014370",
"telephone_number": "858-413-5704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "MIKAELA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-06",
"last_updated": "2026-05-29",
"certification_date": "2026-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MIKAELA",
"last_name": "MATTHEWS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in North Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; 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.