MEDICARE: LINDSAY AIKO NUMATA MPAS, PA-C, MS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA59904	CA

General Provider Information

NPI Number	:	1427621606
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSAY AIKO NUMATA MPAS, PA-C, MS

Provider Business Mailing Address
First Line	:	15464 GOLDENWEST ST.
Second Line	:
City	:	WESTMINSTER
State	:	CA
Zip	:	92683
Country	:	US
Telephone Number	:	714-891-9008
Fax Number	:	714-897-7949

Provider Business Practice Location Address
First Line	:	15464 GOLDENWEST ST.
Second Line	:
City	:	WESTMINSTER
State	:	CA
Zip	:	92683
Country	:	US
Telephone Number	:	714-891-9008
Fax Number	:	714-897-7949

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/23/2021
Last Update Date	:	05/28/2026

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