Justus Kenneth Ehlers Jr., PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

19655 Issued in CA

Practice address

25495 Medical Center Dr
Suite: 102
Murrieta, CA 92562-5963

Phone

(951) 506-9536

Fax

(951) 693-4631

NPI assigned

Dec 23, 2005

Sex

Male

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Painmedgroup, Inc

  • Pain Medicine (Anesthesiology) Physician
  • Murrieta, CA
  • NPI 1225336639
  NPD (past)

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1912984535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43500 RIDGE PARK DR",
            "address_2": "SUITE: 102",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925903624",
            "telephone_number": "951-699-0303",
            "fax_number": "951-699-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25495 MEDICAL CENTER DR",
            "address_2": "SUITE: 102",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625963",
            "telephone_number": "951-506-9536",
            "fax_number": "951-693-4631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHLERS",
        "first_name": "JUSTUS",
        "middle_name": "KENNETH",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-23",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "19655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scherezade Yasmine Egan, PA-C
• Alexander Eggleston
• Maureen Nmachukwu Eghreriniovo, NURSE PRACTITIONER
• Summer Tia Egly
• Chine Ehiemere
• Kristina Marie Eichelberger
• Brian Jeffrey Eichenberg, M.D.
• Erin Michelle Eickhoff, DNP, RN, PHN, PMHNP
• Zachary John Eikermann
• Ama Eisa, OD

• Medical Physician Assistant in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.