Individual provider Active NPI

Alexa Marie Medjo, PA-C

  • Physician Assistant
  • Murrieta, CA
National Provider Identifier
1891478665
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
65812 Issued in CA
Practice address
40700 California Oaks Rd Ste 205
Murrieta, CA 92562-5789
Phone
(949) 491-9991
NPI assigned
Aug 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 65812 CA Primary

Addresses

Primary practice location

40700 California Oaks Rd Ste 205
Murrieta, CA 92562-5789

Mailing address

441 Old Newport Blvd
Newport Beach, CA 92663-4210

Other practice location 1

441 Old Newport Blvd
Newport Beach, CA 92663-4210
Phone (949) 491-9991

Other practice location 2

3660 Park Sierra Dr Ste 101
Riverside, CA 92505-3071
Phone (949) 491-9991

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
I20251120000516 CA Practitioner - Physician Assistant 6204328073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newport Care Medical Group IncGroup PAC ID 6901033521, 20 clinicians

Practice addresses (Care Compare)

3660 Park Sierra Dr
Suite 101
Riverside, CA 92505-3071
Phone (949) 491-9991

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
65812CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Newport Care Medical Group Inc CurrentSince Sep 7, 2025 Accepting new patients
Newport Care Medical Group, Inc CurrentSince Sep 7, 2025 Accepting new patients

Locations

3711 Long Beach Blvd
Ste 101
Long Beach, CA 90807
Phone (310) 963-9727

40700 California Oaks Rd
Ste 205
Murrieta, CA 92562
Phone (951) 894-7555

441 Old Newport Blvd
Newport Beach, CA 92663
Phone (714) 309-9270

1041 E Yorba Linda Blvd
Ste 306
Placentia, CA 92870
Phone (714) 577-9500

3560 Arlington Ave
Riverside, CA 92506
Phone (909) 680-1200

3660 Park Sierra Dr
Ste 101
Riverside, CA 92505
Phone (877) 357-4777

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": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1891478665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 OLD NEWPORT BLVD",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40700 CALIFORNIA OAKS RD STE 205",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625789",
            "telephone_number": "949-491-9991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "441 Old Newport Blvd",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926634210",
            "country_code": "US",
            "telephone_number": "949-491-9991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3660 Park Sierra Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925053071",
            "country_code": "US",
            "telephone_number": "949-491-9991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDJO",
        "first_name": "ALEXA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-09",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "65812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.