Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Heba Marzouk Al-Shoubaki, PA-C

Individual provider Physician Assistant · NPI 1548867666

Heba Marzouk Al-Shoubaki, PA-C is a Physician Assistant in Orange, California. Qualified in 2020, 6 years ago. Practices with Providence Medical Institute, a 336-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2501 E Chapman Ave Ste 306
Orange, CA 92869-3204
Phone: (714) 628-3230
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 201 S Buena Vista St Ste 100, Burbank, CA 91505-4570 — (818) 848-6404
  • 505 E Commonwealth Ave, Fullerton, CA 92832-2020 — (714) 399-4571

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA58597 (CA)

Record details

NPI number1548867666
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 1, 2020
Last updated in NPPESFebruary 9, 2026
Certification dateFebruary 9, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Providence Medical Institute — 336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in Orange