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Angela Haven

NPI 1679148514ActiveIndividual· Physician Assistant· Los Altos, CA

Physician Assistant in Los Altos, California, licensed in CA, with an NPI issued in May 2021.

Overview

NPI1679148514
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedMay 24, 2021
Last updated in NPPESMay 22, 2025
Certified by providerMay 22, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000XPA61022CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Physician Assistant providers in Los Altos

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