NPIMap

Individual provider Active NPI

Patricia Ann Ahearn, M.D.

  • Internal Medicine Physician
  • San Juan Capistrano, CA
National Provider Identifier
1982655304
Registry record updated Apr 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G54979 Issued in CA
Practice address
30230 Rancho Viejo Rd
Suite 200
San Juan Capistrano, CA 92675-1557
Phone
(949) 443-4303
Fax
(949) 443-4033
NPI assigned
May 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G54979 CA
Internal Medicine Physician 207R00000X G54979 CA Primary

Addresses

Primary practice location

30230 Rancho Viejo Rd
Suite 200
San Juan Capistrano, CA 92675-1557

Mailing address

PO Box 7087
Orange, CA 92863-7087
Phone (714) 571-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070510000398 CA Practitioner - Internal MedicinePractitioner - Geriatric Medicine 5193821916 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
University of Arizona College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Paloma Medical Group IncGroup PAC ID 5193821908, 18 clinicians

Practice addresses (Care Compare)

30230 Rancho Viejo Rd
Suite 200
San Juan Capistrano, CA 92675-1585
Phone (949) 443-4303

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.2 of 100Reported as group
Quality
59.72
Improvement activities
40
Cost
66.71

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G54979CAMDSpecialist
54979CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Paloma Medical Group Inc Specialist CurrentSince Feb 1, 2007 Accepting new patients
Gapcare PC Internal Medicine CurrentSince Jun 1, 2024 Accepting new patients
Pacific Private Practice Network Inc Internal Medicine CurrentSince Feb 1, 2015 Accepting new patients
South Coast Global Medical Center, Inc Past Accepting new patients
MD Solutions Medical Corp Past Accepting new patients
Mission Hospital Regional Medical Center Past Accepting new patients

Locations

2141 W Orangewood Ave
Orange, CA 92868
Phone (714) 266-1000

30230 Rancho Viejo Rd
Ste 200
San Juan Capo, CA 92675
Phone (949) 443-4114

30230 Rancho Viejo Rd
Ste 110
San Juan Capo, CA 92675
Phone (949) 441-5681

Interoperability endpoints

  • Direct secure messaging: patricia.ahearn.1@31040.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366070400000",
    "number": "1982655304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7087",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928637087",
            "telephone_number": "714-571-5000",
            "fax_number": "714-571-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30230 RANCHO VIEJO RD",
            "address_2": "SUITE 200",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751557",
            "telephone_number": "949-443-4303",
            "fax_number": "949-443-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHEARN",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2013-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G54979",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G54979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan Capistrano, CA

Sources for this page

Verify at the official NPI Registry.