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LILLY HA
NPI 1275339244
Physician Assistant in Laguna Beach, CA

Active since February 20, 2025PECOS Enrolled
310 GLENNEYRE ST, LAGUNA BEACH, CA 92651(949) 209-9266(949) 209-9267 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 12, 2025, Feb 20, 2025 (2 updates tracked since 2025).

About Lilly Ha NPPES

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

LILLY HA (NPI 1275339244) is an individual physician assistant in Laguna Beach, California and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1275339244
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLILLY HA
Location Address310 GLENNEYRE STLaguna Beach, CA 92651-2311
Mailing Address310 Glenneyre StLaguna Beach, CA 92651-2311 · (949) 209-9266 · Fax (949) 209-9267
Phone(949) 209-9266
Fax(949) 209-9267
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateFebruary 20, 2025
Last NPPES UpdateDecember 12, 20252 updates tracked since enumeration
NPPES CertifiedDecember 12, 2025
✔ NPI 1275339244 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.
310 GLENNEYRE ST, Laguna Beach, CA 92651
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lilly Ha is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID244721876
PECOS Enrollment IDI20251112000900
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 92651 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 2

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

JOHN SANGUEDOLCE M.D.
Family Medicine
310 GLENNEYRE ST
LAGUNA BEACH, CA 92651
Orange County (949) 209-9266
DOLCEMD A CALIFORNIA PROFESSIONAL MEDICAL CORPORATION
Family Medicine
310 GLENNEYRE ST
LAGUNA BEACH, CA 92651
Orange County (949) 209-9266

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 Lilly Ha's NPI number?

The NPI number for Lilly Ha is 1275339244. It was assigned to this individual provider in the NPPES registry on February 20, 2025.

Where is Lilly Ha located?

Lilly Ha practices at 310 Glenneyre St, Laguna Beach, CA 92651. The listed phone number is (949) 209-9266.

What is Lilly Ha's specialty?

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

Is Lilly Ha enrolled in Medicare?

Yes. Lilly Ha is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lilly Ha was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.