Rea Onelyn Whitman, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

57886 Issued in CA

Practice address

450 Bauchet St
Los Angeles, CA 90012-2907

Phone

(213) 893-5557

NPI assigned

Jun 28, 2021

Last updated

Jun 28, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Healing Edge Medical Group - Ca

  • Surgical Physician Assistant
  • Alhambra, CA
  • NPI 1982432506
  Medicare reassignment NPD
• California Wound Healing Medical Group Inc.

  • Surgical Physician Assistant
  • Alhambra, CA
  • NPI 1235333972
  Medicare reassignment
• New Hope Podiatry Group Inc.

  • Foot & Ankle Surgery Podiatrist
  • Alhambra, CA
  • NPI 1447670955
  NPD (past)

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1861062358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1367 S SIERRA BONITA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900192504",
            "telephone_number": "817-939-4539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 BAUCHET ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900122907",
            "telephone_number": "213-893-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITMAN",
        "first_name": "REA",
        "middle_name": "ONELYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "57886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Whiting
• Stephanie Taylorhope Armstrong Whiting, M.S., CCC-SLP
• Vicki Whitley-Earnest, RNP
• Jason Whitman, PT, DPT
• Jeffrey Paul Whitman, LMFT
• Stephanie Anne Whitman, M.D.
• Nicole R Whitmore Taylor, CPT 1
• Quentin Whitmore
• Sara Giselle Whitney-Bolden
• Jonibeth Whitney, PH.D.

• Physician Assistant in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.