Healing Edge Medical Group - Ca

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

HEALING EDGE MEDICAL GROUP - CA

Practice address

100 E Huntington Dr Ste 203
Alhambra, CA 91801-1022

Phone

(323) 264-7796

Fax

(323) 264-7778

NPI assigned

Jul 24, 2024

Last updated

Aug 27, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Halperin, MDNPI 1841752649

Title

Cfo

Phone

(323) 264-7796

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 40

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph Anthony Addiego, DPM

  • Podiatrist
  • Glendale, CA
  • NPI 1902907835
  Medicare reassignment NPD
• Evan Alfred Bailon

  • Physician Assistant
  • Long Beach, CA
  • NPI 1316646821
  Medicare reassignment NPD
• Cyryl R Celiz, NP

  • Family Nurse Practitioner
  • Los Angeles, CA
  • NPI 1922612126

  Single Specialty

  Medicare reassignment NPD
• Taylor Cirillo

  • Family Nurse Practitioner
  • Vacaville, CA
  • NPI 1497594428
  Medicare reassignment NPD
• Mariam Clark, NP

  • Family Nurse Practitioner
  • Los Angeles, CA
  • NPI 1619370194
  Medicare reassignment NPD
• Ange-Aimee Cuffee, FNP

  • Family Nurse Practitioner
  • Los Angeles, CA
  • NPI 1053132175
  Medicare reassignment NPD
• Bradley William Dea

  • Physician Assistant
  • Alhambra, CA
  • NPI 1205546991
  Medicare reassignment NPD
• Erica Nicole Edwards, NP

  • Family Nurse Practitioner
  • Covina, CA
  • NPI 1356162804
  Medicare reassignment NPD
• Karissa Enojas

  • Nurse Practitioner
  • Los Angeles, CA
  • NPI 1659150613
  Medicare reassignment NPD
• April Nicole Fenster

  • Physician Assistant
  • Redlands, CA
  • NPI 1184391153
  Medicare reassignment NPD
• Robin Fordham, PA

  • Medical Physician Assistant
  • Orange, CA
  • NPI 1902175276
  Medicare reassignment NPD
• Frank Luis Jimenez, PA-C

  • Physician Assistant
  • Los Angeles, CA
  • NPI 1184018566
  Medicare reassignment NPD

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

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1982432506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E HUNTINGTON DR STE 203",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918011022",
            "telephone_number": "323-264-7796",
            "fax_number": "323-264-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E HUNTINGTON DR STE 203",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918011022",
            "telephone_number": "323-264-7796",
            "fax_number": "323-264-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING EDGE MEDICAL GROUP - CA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "HALPERIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "323-264-7796",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Adele Havens, DPT
• Shiva Haverim
• Elana Havusha, OT
• Miki Hayashi, D.C. L.AC
• Huajun He
• Healing Edge Medical Group Or Professional Corporation
• Health Care 21
• Health Care 21 Family LP
• Health Care Partners, Inc.
• Healthy Pharmacy Inc (Cheng Pharmacy)

• Surgical Physician Assistant in Alhambra, CA
• Providers in Alhambra, CA by specialty
• Surgical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.