Individual provider Active NPI

Maressa Voss, CCP

  • Perfusionist
  • Palo Alto, CA
National Provider Identifier
1124604244
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PerfusionistTaxonomy code 242T00000X
License
119035 Issued in CA
Practice address
3801 Miranda Ave
Palo Alto, CA 94304-1290
Phone
(650) 493-5000
NPI assigned
Mar 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Perfusionist 242T00000X 119035 CA Primary

Addresses

Primary practice location

3801 Miranda Ave
Palo Alto, CA 94304-1290

Mailing address

18400 Skyline Blvd
Woodside, CA 94062-3735
Phone (847) 970-0423

Other identifiers 1

IdentifierTypeStateIssuer
119035OtherCCP

Other names 1

  • Matt Jonland Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL maressa.voss@va.gov Direct

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
119035CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1616112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1124604244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18400 SKYLINE BLVD",
            "city": "WOODSIDE",
            "state": "CA",
            "postal_code": "940623735",
            "telephone_number": "847-970-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 MIRANDA AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041290",
            "telephone_number": "650-493-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOSS",
        "first_name": "MARESSA",
        "name_prefix": "Mrs.",
        "credential": "CCP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-19",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "242T00000X",
            "taxonomy_group": "",
            "desc": "Perfusionist",
            "state": "CA",
            "license": "119035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCP",
            "identifier": "119035",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "maressa.voss@va.gov",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3801 Miranda Ave",
            "city": "Palo Alto",
            "state": "CA",
            "country_code": "US",
            "postal_code": "943041290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MATT",
            "last_name": "JONLAND",
            "credential": "CCP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.