Individual provider Active NPI

Nour Aqeel, PA

  • Physician Assistant
  • Huntington Beach, CA
National Provider Identifier
1831449040
Registry record updated Jul 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
51349 Issued in CA
Practice address
8101 Newman Ave
Ste B
Huntington Beach, CA 92647-7042
Phone
(714) 847-3030
Fax
(714) 847-7474
NPI assigned
Sep 14, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 015980 NY
Physician Assistant 363A00000X 51349 CA Primary

Addresses

Primary practice location

8101 Newman Ave
Ste B
Huntington Beach, CA 92647-7042

Mailing address

8101 Newman Ave
Ste B
Huntington Beach, CA 92647-7042
Phone (714) 847-3030

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
I20170307000308 CA Practitioner - Physician Assistant 7719299742 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Nahla Salem M D IncGroup PAC ID 2860540762, 5 clinicians

Practice addresses (Care Compare)

26012 Marguerite Pkwy
Suite H
Mission Viejo, CA 92692-3263
Phone (714) 847-3030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
015980NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Oc Urgentcare Medical Group Incorporated PastSince Nov 26, 2018 Accepting new patients

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": "1347580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594425600000",
    "number": "1831449040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 NEWMAN AVE",
            "address_2": "STE B",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926477042",
            "telephone_number": "714-847-3030",
            "fax_number": "714-847-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 NEWMAN AVE",
            "address_2": "STE B",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926477042",
            "telephone_number": "714-847-3030",
            "fax_number": "714-847-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AQEEL",
        "first_name": "NOUR",
        "name_prefix": "Miss",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-14",
        "last_updated": "2020-07-11",
        "certification_date": "2020-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "015980",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "51349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.