Individual provider Active NPI

Vanya Astra Valencia, PA

  • Physician Assistant
  • Sterling Heights, MI
National Provider Identifier
1194305490
Registry record updated Apr 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601010081 Issued in MI
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

Updated by the provider on Apr 11, 2021

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 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, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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 4 clinicians

Practice addresses (Care Compare)

1030 Harrington St
Suite 301
Mount Clemens, MI 48043-2967
Phone (586) 961-6060

Hospital & facility affiliations

  • McLaren Macomb Hospital, Mount Clemens, MI, CCN 230227

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.

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

Verify at the official NPI Registry.