Active NPI
Veronica Bolton Acevedo, PA
- Physician Assistant
- Union City, CA
National Provider Identifier
1174519060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA1365B
- Practice address
- 33255 9TH St
Union City, CA 94587-2137 - Phone
- (510) 471-5880
- Fax
- (570) 471-9051
- NPI assigned
- Sep 26, 2005
- Last updated
- Dec 6, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA1365B | CA | Primary |
Addresses
Primary practice location
33255 9TH St
Union City, CA 94587-2137
Mailing address
33255 9TH St
Union City, CA 94587-2137
Phone (510) 471-5880
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: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA1365B | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386288000000",
"number": "1174519060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33255 9TH ST",
"city": "UNION CITY",
"state": "CA",
"postal_code": "945872137",
"telephone_number": "510-471-5880",
"fax_number": "570-471-9051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33255 9TH ST",
"city": "UNION CITY",
"state": "CA",
"postal_code": "945872137",
"telephone_number": "510-471-5880",
"fax_number": "570-471-9051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACEVEDO",
"first_name": "VERONICA",
"middle_name": "BOLTON",
"name_prefix": "Mrs.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-26",
"last_updated": "2013-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA1365B",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Union City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.