Active NPI
Golnaz Parsa, MSP.A-C
- Medical Physician Assistant
- Santa Ana, CA
National Provider Identifier
1801175039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA17653
- Practice address
- 1125 E 17TH St Ste W248
Santa Ana, CA 92701-2205 - Phone
- (714) 547-5151
- NPI assigned
- Aug 5, 2011
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA17653 | CA | Primary |
Addresses
Primary practice location
1125 E 17TH St Ste W248
Santa Ana, CA 92701-2205
Mailing address
1125 E. 17TH St
Suite W248
Santa Ana, CA 92701
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA17653 | CA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312502400000",
"number": "1801175039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 E. 17TH ST",
"address_2": "SUITE W248",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "92701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 E 17TH ST STE W248",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927012205",
"telephone_number": "714-547-5151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARSA",
"first_name": "GOLNAZ",
"name_prefix": "Miss",
"credential": "MSP.A-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-05",
"last_updated": "2011-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA17653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.