Individual provider Active NPI

Mayra Veronica Spurr

  • Psychiatric/Mental Health Nurse Practitioner
  • San Ramon, CA
National Provider Identifier
1073306007
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2025020629 Issued in AZ
Practice address
5201 Norris Canyon Rd
San Ramon, CA 94583-5411
Phone
(206) 823-1004
NPI assigned
May 23, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 2025020629 AZ Primary

Addresses

Primary practice location

5201 Norris Canyon Rd
San Ramon, CA 94583-5411

Mailing address

9355 S Polo CT
Hereford, AZ 85615-8414
Phone (480) 252-1351

Other names 1

  • Mayra Alvarez Ponce Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251001001782 CA Practitioner - Nurse Practitioner 9234635087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Post Acute Behavioral HealthGroup PAC ID 5294267407, 17 clinicians

Practice addresses (Care Compare)

22590 Voss Ave
Cupertino, CA 95014-2627
Phone (206) 823-1004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2025020629AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Post Acute Behavioral Health Single Specialty CurrentSince Sep 11, 2025 Accepting new patients

Locations

22590 Voss Ave
Cupertino, CA 95014
Phone (408) 253-9034

12332 Garden Grove Blvd
Garden Grove, CA 92843
Phone (714) 534-1041

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1073306007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9355 S POLO CT",
            "city": "HEREFORD",
            "state": "AZ",
            "postal_code": "856158414",
            "telephone_number": "480-252-1351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 NORRIS CANYON RD",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945835411",
            "telephone_number": "206-823-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPURR",
        "first_name": "MAYRA",
        "middle_name": "VERONICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-23",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "2025020629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAYRA",
            "last_name": "ALVAREZ PONCE",
            "credential": "PMHNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Ramon, CA

Sources for this page

Verify at the official NPI Registry.