Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Desirae Nicole Macias, PA

Individual provider Physician Assistant · NPI 1851763676

Mrs. Desirae Nicole Macias, PA is a Physician Assistant in Huntington Beach, California. Qualified in 2015, 11 years ago. Practices with Smi Imaging LLC, a 376-clinician group and accepts Medicare assignment. Licensed in Arizona, California, Colorado and Florida and 2 more.

Years since qualifying
11
Licensed in
AZ, CA, CO, FL, NV, NY
In the registry since
2015
Specialties on file
8
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4911 Warner Ave Ste 205
Huntington Beach, CA 92649
Phone: (714) 316-0611
Fax: (714) 520-0087
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA52952 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 285 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 028264-01 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 10772 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence PA3264 (NV)
Physician Assistant Taxonomy 363A00000X · Licence PA9119701 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 52952 (CA)
Physician Assistant Taxonomy 363A00000X · Licence PA0008942 (CO)

Record details

NPI number1851763676
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 21, 2015
Last updated in NPPESOctober 15, 2025
Certification dateOctober 15, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Smi Imaging Llc — 376 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations57 on file with Medicare

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