Active NPI
Jillian Stone
- Physician Assistant
- Costa Mesa, CA
National Provider Identifier
1962992396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA55865
- Practice address
- 151 Kalmus Dr Ste K2
Costa Mesa, CA 92626-5975 - Phone
- (888) 395-4484
- NPI assigned
- May 10, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA55865 | CA | Primary |
| Physician Assistant | 363A00000X |
Addresses
Primary practice location
151 Kalmus Dr Ste K2
Costa Mesa, CA 92626-5975
Mailing address
24992 Mammoth Cir
Lake Forest, CA 92630-2542
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA55865 | Other | CA | PAB |
Other names 1
- Jillian Gilpatrick
Medicare participation
Medicare enrollment files- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA55865 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Workit Health PC | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- jillian.stone.1@25843.direct.athenahealth.com
Organizations & group practices 1
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.
-
- General Practice Physician
- Walnut Creek, CA
- NPI 1245748201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699315200000",
"number": "1962992396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24992 MAMMOTH CIR",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926302542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 KALMUS DR STE K2",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926265975",
"telephone_number": "888-395-4484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STONE",
"first_name": "JILLIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-10",
"last_updated": "2023-11-07",
"certification_date": "2023-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA55865",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PAB",
"identifier": "PA55865",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JILLIAN",
"last_name": "GILPATRICK",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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.