Individual provider Active NPI

Anca Maria Petrascu, M.D.

  • Internal Medicine Physician
  • Visalia, CA
National Provider Identifier
1255342929
Registry record updated Aug 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A66037 Issued in CA
Practice address
4050 S Demaree St
Visalia, CA 93277-9476
Phone
(559) 625-4011
Fax
(559) 625-4019
NPI assigned
Aug 10, 2006
Last updated
Aug 20, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A66037 CA Primary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X A66037 CA

Addresses

Primary practice location

4050 S Demaree St
Visalia, CA 93277-9476

Mailing address

4050 S Demaree St
Visalia, CA 93277-9476
Phone (559) 625-4011

Other identifiers 1

IdentifierTypeStateIssuer
00A660370MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070402000733 CA Practitioner - Hospice/Palliative CarePractitioner - Internal Medicine 9638273501 Practice locations: Visalia, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Interoperability endpoints

  • Direct secure messaging: anca.petrascu.p1@direct.altura.nextgenshare.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408492800000",
    "number": "1255342929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 S DEMAREE ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932779476",
            "telephone_number": "559-625-4011",
            "fax_number": "559-625-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 S DEMAREE ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932779476",
            "telephone_number": "559-625-4011",
            "fax_number": "559-625-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRASCU",
        "first_name": "ANCA",
        "middle_name": "MARIA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2014-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A66037",
            "primary": true
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "A66037",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A660370",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.