SOHA EBNEYAMIN PA-C
NPI 1700261682
Physician Assistant - Medical in Santa Monica, CA

Active since July 21, 2015PECOS EnrolledAccepts Medicare Assignment
87.67/100
CMS Quality Rating
1537 15TH ST APT 106, SANTA MONICA, CA 90404(310) 804-0743 Get Directions Write a Review

NPPES record last updated: December 13, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Soha Ebneyamin Pa-c NPPES

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

SOHA EBNEYAMIN PA-C (NPI 1700261682) is an individual medical provider in Santa Monica, California, licensed in California (52633) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1700261682
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSOHA EBNEYAMINCredential: PA-C
Location Address1537 15TH ST APT 106Santa Monica, CA 90404-3350
Mailing Address1537 15th St Apt 106Santa Monica, CA 90404-3350 · (310) 804-0743
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 21, 2015
Last NPPES UpdateDecember 13, 2021
NPI 1700261682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CA · 52633
1537 15TH ST APT 106, Santa Monica, CA 90404

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

Soha Ebneyamin 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 ID7719256957
PECOS Enrollment IDI20170703001830
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
13 services13 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
12 services12 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.86
Promoting Interoperability99
Improvement Activities40
Cost49.42

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 Soha Ebneyamin's NPI number?

The NPI number for Soha Ebneyamin is 1700261682. It was assigned to this individual provider in the NPPES registry on July 21, 2015.

Where is Soha Ebneyamin located?

Soha Ebneyamin practices at 1537 15th St Apt 106, Santa Monica, CA 90404. The listed phone number is (310) 804-0743.

What is Soha Ebneyamin's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Soha Ebneyamin enrolled in Medicare?

Yes. Soha Ebneyamin 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 Soha Ebneyamin was last updated on December 13, 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.