Active NPI
Annie Kaye Shugarman, P.A.-C
- Physician Assistant
- Ladera Ranch, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA 13421
- Practice address
- 333 Corporate Dr Ste 200
Ladera Ranch, CA 92694-2179 - Phone
- (949) 347-7200
- Fax
- (949) 347-7217
- NPI assigned
- Sep 20, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA 13421 | CA | Primary |
Addresses
Primary practice location
333 Corporate Dr Ste 200
Ladera Ranch, CA 92694-2179
Mailing address
24422 Avenida de la Carlota Ste 300
Laguna Hills, CA 92653-3628
Phone (949) 599-2434
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1125 E 17TH St
Suite W248
Santa Ana, CA 92701-2205
Phone (714) 547-5151
30201 Golden Lantern
Suite B
Laguna Niguel, CA 92677-5926
Phone (949) 363-1788
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 13421 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| J Robert West, M.D., Inc | Current | Accepting new patients |
Locations
1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000
824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706
30201 Golden Lantern
Ste B
Laguna Niguel, CA 92677
Phone (949) 363-1788
2699 Atlantic Ave
Long Beach, CA 90806
Phone (562) 426-2105
400 Newport Center Dr
Ste 702
Newport Beach, CA 92660
Phone (949) 644-0101
1125 E 17th St
Ste W248
Santa Ana, CA 92701
Phone (714) 547-5151
Organizations & group practices 3
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.
-
- Dermatology Physician
- Newport Beach, CA
- NPI 1932154788
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
-
- Durable Medical Equipment & Medical Supplies
- Murrieta, CA
- NPI 1760057269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646179200000",
"number": "1982701249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24422 AVENIDA DE LA CARLOTA STE 300",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926533628",
"telephone_number": "949-599-2434",
"fax_number": "949-599-2430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 CORPORATE DR STE 200",
"city": "LADERA RANCH",
"state": "CA",
"postal_code": "926942179",
"telephone_number": "949-347-7200",
"fax_number": "949-347-7217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUGARMAN",
"first_name": "ANNIE",
"middle_name": "KAYE",
"name_prefix": "Mrs.",
"credential": "P.A.-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2022-03-02",
"certification_date": "2022-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA 13421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ladera Ranch, CA
- Scott N Macadam Chiropractic Corporation
- Securecardio, LLC
- Joan Amendola Segal, LSCW
- Elnaz Shahabi-Abney, DO
- Parisa Shirkhani, NP-C
- Elizabeth Kay Sorensen, LCSW
- Sotomayor Marriage and Family Therapy Inc.
- South Coast Ear Nose & Throat a Medical Corporation
- Meghan Sparling, M.S. CCC-SLP
- Mackensey Makayla Speirs, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.