Individual provider Active NPI

Veronica Hall, PA-C

  • Physician Assistant
  • Yuma, AZ
National Provider Identifier
1104537117
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9989 Issued in AZ
Practice address
350 W Catalina Dr
Yuma, AZ 85364-8112
Phone
(805) 522-2580
NPI assigned
Dec 9, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9989 AZ Primary

Addresses

Primary practice location

350 W Catalina Dr
Yuma, AZ 85364-8112

Mailing address

480 S Schuster Dr
Springerville, AZ 85938-5321
Phone (928) 245-7043

Other practice location 1

18433 Roscoe Blvd Ste 104
Northridge, CA 91325-4127
Phone (888) 367-1850

Other names 1

  • Mrs. Veronica Hall Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
California Dermatology Institute PCGroup PAC ID 6800177460, 25 clinicians

Practice addresses (Care Compare)

350 W Catalina Dr
Yuma, AZ 85364-8112
Phone (888) 367-1850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9989AZMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
California Dermatology Institute PC Past Accepting new patients

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": "1670544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1104537117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 S SCHUSTER DR",
            "city": "SPRINGERVILLE",
            "state": "AZ",
            "postal_code": "859385321",
            "telephone_number": "928-245-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W CATALINA DR",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648112",
            "telephone_number": "805-522-2580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18433 Roscoe Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Northridge",
            "state": "CA",
            "postal_code": "913254127",
            "country_code": "US",
            "telephone_number": "888-367-1850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "VERONICA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-09",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "9989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VERONICA",
            "last_name": "HALL",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.