Individual provider Active NPI

Anabelle Laroza Walker, PA-C

  • Medical Physician Assistant
  • Santa Ana, CA
National Provider Identifier
1821278540
Registry record updated Dec 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA 19193 Issued in CA
Practice address
2740 S Bristol St Ste 208
Santa Ana, CA 92704-6233
Phone
(714) 979-5734
Fax
(714) 979-5781
NPI assigned
Nov 9, 2007
Last updated
Dec 20, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA 19193 CA Primary

Addresses

Primary practice location

2740 S Bristol St Ste 208
Santa Ana, CA 92704-6233

Mailing address

2740 S Bristol St Ste 208
Santa Ana, CA 92704-6233
Phone (714) 979-5734

Other identifiers 1

IdentifierTypeStateIssuer
PA19193MedicaidCA

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
I20140804000600 CA Practitioner - Physician Assistant 3779700471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ajay G Meka MD IncGroup PAC ID 0244129963, 13 clinicians

Practice addresses (Care Compare)

201 S Broadway
Santa Ana, CA 92701-5633
Phone (714) 571-4941

2740 S Bristol St
Suite 208
Santa Ana, CA 92704-6233
Phone (714) 979-5734

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19193CAMDGeneral Practice Dentistry
PA 19193CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Amistad Multi Specialty Medical Group Inc. Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355961600000",
    "number": "1821278540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 S BRISTOL ST STE 208",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927046233",
            "telephone_number": "714-979-5734",
            "fax_number": "714-979-5781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 S BRISTOL ST STE 208",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927046233",
            "telephone_number": "714-979-5734",
            "fax_number": "714-979-5781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "ANABELLE",
        "middle_name": "LAROZA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-09",
        "last_updated": "2012-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA 19193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA19193",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.