Individual provider Active NPI

Maria Alexandra Fuchs, PA

  • Physician Assistant
  • Santa Cruz, CA
National Provider Identifier
1134465933
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA22513 Issued in CA
Practice address
21507 E Cliff Dr
Santa Cruz, CA 95062-4844
Phone
(831) 427-3500
Fax
(831) 427-3500
NPI assigned
Dec 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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 PA22513 CA Primary

Addresses

Primary practice location

21507 E Cliff Dr
Santa Cruz, CA 95062-4844

Mailing address

65 Aspen Way
Watsonville, CA 95076-6054

Other practice location 1

250 Locust St
Santa Cruz, CA 95060
Phone (831) 427-3500

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
I20130622000110 CA Practitioner - Physician Assistant 9032358064 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22513CAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Cruz Community Health Centers Physician Assistant CurrentSince Apr 6, 2013 Accepting new patients

Locations

250 Locust St
Santa Cruz, CA 95060
Phone (831) 427-3582

21507 E Cliff Dr
Santa Cruz, CA 95062
Phone (510) 520-7299

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": "1356393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1134465933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 ASPEN WAY",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950766054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21507 E CLIFF DR",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950624844",
            "telephone_number": "831-427-3500",
            "fax_number": "831-427-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Locust St",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "95060",
            "country_code": "US",
            "telephone_number": "831-427-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUCHS",
        "first_name": "MARIA",
        "middle_name": "ALEXANDRA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-25",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA22513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.