Individual provider Active NPI

Cynthia Rojas, PA-C

  • Medical Physician Assistant
  • Victorville, CA
National Provider Identifier
1093162562
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
53429 Issued in CA
Practice address
12611 Hesperia Rd Ste a
Victorville, CA 92395-8307
Phone
(760) 951-7762
Fax
(760) 951-7134
NPI assigned
May 15, 2016
Last updated
Jul 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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
Medical Physician Assistant 363AM0700X 53429 CA Primary

Addresses

Primary practice location

12611 Hesperia Rd Ste a
Victorville, CA 92395-8307

Mailing address

12611 Hesperia Rd Ste a
Victorville, CA 92395-8307
Phone (760) 951-7762

Other practice location 1

3975 Jackson St
#207
Riverside, CA 92503-3901
Phone (951) 352-2092

Other practice location 2

2 W Fern Ave
Redlands, CA 92373
Phone (909) 793-3311

Other identifiers 1

IdentifierTypeStateIssuer
53429OtherCAPA LIC

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
I20180130001658 CA Practitioner - Physician Assistant 3072873686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Island Dermatology, Inc.Group PAC ID 1850395070, 27 clinicians

Practice addresses (Care Compare)

12611 Hesperia Rd
Suite a
Victorville, CA 92395-8307
Phone (760) 951-7762

16785 Bear Valley Rd
Suite 5
Hesperia, CA 92345-0825
Phone (760) 951-7762

Merit-based Incentive Payment System (MIPS)

Final score
94.66 of 100Reported as group
Promoting interoperability
92
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hai Tran, M.D., Inc. Current Accepting new patients

Locations

12611 Hesperia Rd
Ste A
Victorville, CA 92395
Phone (442) 255-4130

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1463270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1093162562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12611 HESPERIA RD STE A",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923958307",
            "telephone_number": "760-951-7762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12611 HESPERIA RD STE A",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923958307",
            "telephone_number": "760-951-7762",
            "fax_number": "760-951-7134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3975 Jackson St",
            "address_2": "#207",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925033901",
            "country_code": "US",
            "telephone_number": "951-352-2092",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 W Fern Ave",
            "address_purpose": "LOCATION",
            "city": "Redlands",
            "state": "CA",
            "postal_code": "92373",
            "country_code": "US",
            "telephone_number": "909-793-3311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROJAS",
        "first_name": "CYNTHIA",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "53429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LIC",
            "identifier": "53429",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

Verify at the official NPI Registry.