Active NPI
Vanya Astra Valencia, PA
- Physician Assistant
- Sterling Heights, MI
National Provider Identifier
1194305490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601010081
- Practice address
- 34722 San Paulo Dr
Sterling Heights, MI 48312-5733 - Phone
- (586) 489-9756
- NPI assigned
- Apr 11, 2021
- 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 | 5601010081 | MI | Primary |
Addresses
Primary practice location
34722 San Paulo Dr
Sterling Heights, MI 48312-5733
Mailing address
34722 San Paulo Dr
Sterling Heights, MI 48312-5733
Phone (586) 489-9756
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210819003102 | OR | Practitioner - Physician Assistant | 4183029796 | Reassigns benefits to 1 organization |
| I20250221001882 | MI | Practitioner - Physician Assistant | 4183029796 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Allergy and Asthma Physicians of Commerce Township
Practice addresses (Care Compare)
1030 Harrington St
Suite 301
Mount Clemens, MI 48043-2967
Phone (586) 961-6060
Hospital & facility affiliations
- McLaren Macomb
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Organizations & group practices 3
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.
-
- Allergy & Immunology Physician
- Mount Clemens, MI
- NPI 1467656009
MI
-
- Geriatric Medicine (Internal Medicine) Physician
- Brookings, OR
- NPI 1316555428
OR
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618099200000",
"number": "1194305490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34722 SAN PAULO DR",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483125733",
"telephone_number": "586-489-9756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34722 SAN PAULO DR",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483125733",
"telephone_number": "586-489-9756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENCIA",
"first_name": "VANYA",
"middle_name": "ASTRA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-11",
"last_updated": "2021-04-11",
"certification_date": "2021-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601010081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sterling Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.