Active NPI
Maricela Berzunza, P.A.
- Physician Assistant
- Whittier, CA
National Provider Identifier
1205060936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 17696
- Practice address
- 13613 Valna Dr
Whittier, CA 90602-3122 - Phone
- (562) 945-4713
- NPI assigned
- May 9, 2009
- 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 | 17696 | CA | Primary |
Addresses
Primary practice location
13613 Valna Dr
Whittier, CA 90602-3122
Mailing address
13613 Valna Dr
Whittier, CA 90602-3122
Phone (562) 945-4713
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1135 S Sunset Ave
Suite 211
West Covina, CA 91790-3938
Phone (626) 337-1800
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.
-
- General Practice Physician
- Los Angeles, CA
- NPI 1275965105
-
- Family Medicine Physician
- Los Angeles, CA
- NPI 1073706289
-
- Multi-Specialty Clinic/Center
- West Covina, CA
- NPI 1467195073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241827200000",
"number": "1205060936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13613 VALNA DR",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906023122",
"telephone_number": "562-945-4713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13613 VALNA DR",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906023122",
"telephone_number": "562-945-4713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERZUNZA",
"first_name": "MARICELA",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-09",
"last_updated": "2009-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "17696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whittier, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2009; 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.