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MYKEISHA ALZAATRA PA-C
NPI 1629367172
Physician Assistant - Surgical in Orange, CA

Active since April 06, 2011PECOS EnrolledAccepts Medicare Assignment
280 S MAIN ST STE 200, ORANGE, CA 92868(714) 634-4567(714) 634-4569 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mykeisha Alzaatra Pa-c NPPES

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

MYKEISHA ALZAATRA PA-C (NPI 1629367172) is an individual surgical provider in Orange, California, licensed in California (21530) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1629367172
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMYKEISHA ALZAATRACredential: PA-C
Location Address280 S MAIN ST STE 200Orange, CA 92868-3852
Mailing Address280 S Main St Ste 200Orange, CA 92868-3852 · (714) 634-4567 · Fax (714) 634-4569
Phone(714) 634-4567
Fax(714) 634-4569
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateApril 6, 2011
Last NPPES UpdateNovember 29, 2021
NPPES CertifiedNovember 29, 2021
✔ NPI 1629367172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in CA · 21530
280 S MAIN ST STE 200, Orange, CA 92868
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mykeisha Alzaatra Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42497356
PECOS Enrollment IDI20110613000727
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.

Other Providers at the Same Location NPPES 20

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

JOSEPH ERIC KORESSEL MD
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
280 S MAIN ST STE 200
ORANGE, CA 92868
Orange County (714) 634-4567
ROBERT PATRICK RUNNER MD
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
280 S MAIN ST STE 200
ORANGE, CA 92868
Orange County (714) 634-4567
LILLIAN TRAN NGUYEN PA-C
Physician Assistant
280 S MAIN ST STE 200
ORANGE, CA 92868
Orange County (146) 344-5677
MR. JOSHUA DUANE PHILLIPS PA-C
Physician Assistant
280 S MAIN ST STE 200
ORANGE, CA 92868
Orange County (714) 634-4567
CHRISTOPHER ANDRES TERREROS UGARTE
Physician Assistant
280 S MAIN ST STE 200
ORANGE, CA 92868
Orange County (714) 937-2121
JON ONOSAKI PA-C
Physician Assistant
280 S MAIN ST STE 200
ORANGE, CA 92868
Orange County (714) 634-4567
MR. SUNG DON LEE PA-C
Physician Assistant
280 S MAIN ST STE 200
ORANGE, CA 92868
Orange County (714) 634-4567
MS. RACHEL BAGLEY NP-C, RNFA
Nurse Practitioner (Family)
280 S MAIN ST STE 200
ORANGE, CA 92868
Orange County (714) 634-4567

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 Mykeisha Alzaatra's NPI number?

The NPI number for Mykeisha Alzaatra is 1629367172. It was assigned to this individual provider in the NPPES registry on April 6, 2011.

Where is Mykeisha Alzaatra located?

Mykeisha Alzaatra practices at 280 S Main St Ste 200, Orange, CA 92868. The listed phone number is (714) 634-4567.

What is Mykeisha Alzaatra's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Mykeisha Alzaatra enrolled in Medicare?

Yes. Mykeisha Alzaatra is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mykeisha Alzaatra was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.