Active NPI
Mayra Veronica Spurr
- Psychiatric/Mental Health Nurse Practitioner
- San Ramon, CA
National Provider Identifier
1073306007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 2025020629
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 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
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2025020629 | AZ | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Post Acute Behavioral Health | Single Specialty | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.