Active NPI
Dena Marie Fisher, P.A,
- Physician Assistant
- Garden Grove, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA21503
- Practice address
- 12462 Brookhurst St
Suite a&B
Garden Grove, CA 92840-4759 - Phone
- (714) 636-9850
- NPI assigned
- Nov 28, 2007
- Last updated
- Jun 20, 2012
- 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 | PA21503 | CA | Primary |
Addresses
Primary practice location
12462 Brookhurst St
Suite a&B
Garden Grove, CA 92840-4759
Mailing address
12462 Brookhurst St
Suite a&B
Garden Grove, CA 92840-4759
Phone (714) 636-9850
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3955 Bedford Canyon Rd
Unit 103
Corona, CA 92883-3627
Phone (951) 293-4722
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PENDING | OK | MD | Diagnostic Radiology Physician |
| PA21503 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seven Star Hospital Associates Inc. | Current | Accepting new patients | |
| Orange County Urgent Care #3, Inc. | Current | Accepting new patients | |
| Carbon Health Primary Care of California PC | Past | Accepting new patients |
Locations
820 E Mountain View St
Barstow, CA 92311
Phone (760) 256-1761
1117 E Devonshire Ave
Hemet, CA 92543
Phone (951) 652-2811
82151 Avenue 42
Ste 100
Indio, CA 92203
Phone (442) 215-1320
78965 Highway 111
Ste 100
La Quinta, CA 92253
Phone (706) 777-7847
2601 E Chapman Ave
Orange, CA 92869
Phone (714) 633-0011
15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691
Organizations & group practices 9
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.
-
dba Carbon Health
- Urgent Care Clinic/Center
- Berkeley, CA
- NPI 1417294232
-
dba Seven Star Radiology
- Diagnostic Radiology Physician
- Hemet, CA
- NPI 1043813140
-
- Emergency Medicine Physician
- Hemet, CA
- NPI 1265711089
-
dba Seva Medical Group
- Emergency Medicine Physician
- Banning, CA
- NPI 1932964962
-
- Multi-Specialty Clinic/Center
- Bellflower, CA
- NPI 1548303589
-
- Emergency Medicine Physician
- Indio, CA
- NPI 1831592187
-
dba Seva Medical Group
- Emergency Medicine Physician
- Barstow, CA
- NPI 1336971514
-
dba MedPost - Lakewood
- Urgent Care Clinic/Center
- Long Beach, CA
- NPI 1619445111
-
- Multi-Specialty Clinic/Center
- Berkeley, CA
- NPI 1972057990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340150400000",
"number": "1821270273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12462 BROOKHURST ST",
"address_2": "SUITE A&B",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928404759",
"telephone_number": "714-636-9850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12462 BROOKHURST ST",
"address_2": "SUITE A&B",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928404759",
"telephone_number": "714-636-9850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "DENA",
"middle_name": "MARIE",
"credential": "P.A,",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-28",
"last_updated": "2012-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA21503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garden Grove, CA
- First Healthcare Medical Group, Inc.
- First Optometric Care of Northern California PC (Eastgate Optometry Care)
- First Sight Creatives Corporation (Pacific Optometry Group)
- First Touch Home Health Care Inc.
- Ryan Elizabeth-Rose Fish
- Ciara Lauren Fitch
- Gillian Grace Fitzpatrick
- McKenna Flahaven
- Bernadette Fleming, PHD
- Cesar Alejandro Flores Olmedo
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; 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.