Individual provider Active NPI

Virgil Christopher Junio II, PA

  • Physician Assistant
  • Canyon Country, CA
National Provider Identifier
1083259386
Registry record updated Feb 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
57701 Issued in CA
Practice address
19735 Collins Rd
Canyon Country, CA 91351-4824
Phone
(661) 373-0786
NPI assigned
Nov 10, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X CA
Physician Assistant 363A00000X 57701 CA Primary

Addresses

Primary practice location

19735 Collins Rd
Canyon Country, CA 91351-4824

Mailing address

19735 Collins Rd
Canyon Country, CA 91351-4824
Phone (661) 373-0786

Other practice location 1

19735 Collins Rd
Canyon Country, CA 91351-4824
Phone (661) 373-0786

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
I20200324000940 CA Practitioner - Physician Assistant 2567899453 Reassigns benefits to 8 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
57701CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Circulus Clinic PC CurrentSince Oct 20, 2025 Accepting new patients
Mobile Physicians Medical Allied Group Inc PastSince Oct 1, 2021 Accepting new patients

Locations

21050 Centre Pointe Pkwy
Santa Clarita, CA 91350
Phone (661) 425-7525

Organizations & group practices 9

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": "1573344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644019200000",
    "number": "1083259386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19735 COLLINS RD",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913514824",
            "telephone_number": "661-373-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19735 COLLINS RD",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913514824",
            "telephone_number": "661-373-0786"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19735 Collins Rd",
            "address_purpose": "LOCATION",
            "city": "Canyon Country",
            "state": "CA",
            "postal_code": "913514824",
            "country_code": "US",
            "telephone_number": "661-373-0786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUNIO",
        "first_name": "VIRGIL",
        "middle_name": "CHRISTOPHER",
        "name_suffix": "II",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-10",
        "last_updated": "2022-02-05",
        "certification_date": "2022-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "57701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canyon Country, CA

Sources for this page

Verify at the official NPI Registry.