1. Home
  2. Directory
  3. California
  4. La Mirada
  5. Physician Assistant
  6. NPI Profile

JAMIE KEHAULANI HUMPHRIES WIDGER PA-C
NPI 1053185918
Physician Assistant in La Mirada, CA

Active since November 10, 2023PECOS Enrolled
15625 IMPERIAL HWY, LA MIRADA, CA 90638(562) 902-3000(562) 902-9593 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jamie Kehaulani Humphries Widger Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMIE KEHAULANI HUMPHRIES WIDGER PA-C (NPI 1053185918) is an individual physician assistant in La Mirada, California and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1053185918
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJAMIE KEHAULANI HUMPHRIES WIDGERCredential: PA-C
Location Address15625 IMPERIAL HWYLa Mirada, CA 90638-1627
Mailing Address15625 Imperial HwyLa Mirada, CA 90638-1627 · (562) 902-3000 · Fax (562) 902-9593
Phone(562) 902-3000
Fax(562) 902-9593
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 10, 2023
Last NPPES UpdateJanuary 15, 2025
NPPES CertifiedJanuary 15, 2025
✔ NPI 1053185918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
15625 IMPERIAL HWY, La Mirada, CA 90638
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jamie Kehaulani Humphries Widger Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709396351
PECOS Enrollment IDI20250702003902
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90638 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL O ROACH MD
Family Medicine (Geriatric Medicine)
15625 IMPERIAL HWY
LA MIRADA, CA 90638
Los Angeles County (562) 902-3000
IMPERIAL PRIMARY CARE MEDICAL GROUP
Family Medicine
15625 IMPERIAL HWY
LA MIRADA, CA 90638
Los Angeles County (562) 902-3000
NEELAM PATEL
Physician Assistant
15625 IMPERIAL HWY
LA MIRADA, CA 90638
Los Angeles County (562) 902-3000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jamie Humphries Widger's NPI number?

The NPI number for Jamie Humphries Widger is 1053185918. It was assigned to this individual provider in the NPPES registry on November 10, 2023.

Where is Jamie Humphries Widger located?

Jamie Humphries Widger practices at 15625 Imperial Hwy, La Mirada, CA 90638. The listed phone number is (562) 902-3000.

What is Jamie Humphries Widger's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jamie Humphries Widger enrolled in Medicare?

Yes. Jamie Humphries Widger is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jamie Humphries Widger was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.