Wendy B. Mazursky, PA-C, MS

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

19144 Issued in CA

Practice address

500 Alfred Nobel Dr
#245
Hercules, CA 94547

Phone

(510) 741-7418

NPI assigned

Oct 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Oak Dermatology IncGroup PAC ID 0143587394, 4 clinicians

Berman Skin Institute Medical Group IncGroup PAC ID 0042407215, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Marshall Medical Center Hospital, Placerville, CA, CCN 050254

Merit-based Incentive Payment System (MIPS)

Final score

84.22 of 100Reported as group

Quality

86.59

Improvement activities

40

Cost

65.28

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Physician Assistant

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.

• Berman Skin Institute Medical Group Inc

  • Dermatology Physician
  • Los Altos, CA
  • NPI 1528175528
  Medicare reassignment Care Compare group
• West Oak Dermatology Inc

  • Dermatology Physician
  • Roseville, CA
  • NPI 1003327545
  Medicare reassignment Care Compare group
• The Dermatology Center of Northern California, Inc.

  • Dermatology Physician
  • Folsom, CA
  • NPI 1477880136
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Marshall Medical Center

  • General Acute Care Hospital
  • Placerville, CA
  • NPI 1972503142
  Care Compare affiliation

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377216000000",
    "number": "1255425583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ALFRED NOBEL DR",
            "address_2": "#245",
            "city": "HERCULES",
            "state": "CA",
            "postal_code": "94547",
            "telephone_number": "303-493-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ALFRED NOBEL DR",
            "address_2": "#245",
            "city": "HERCULES",
            "state": "CA",
            "postal_code": "94547",
            "telephone_number": "510-741-7418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZURSKY",
        "first_name": "WENDY",
        "middle_name": "B.",
        "credential": "PA-C, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2013-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "1953",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "19144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17638739",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Martinez
• Ellen Marzan, D.C.
• Mencita Dabu Masangkay, DMD
• Gerald Dawane Mason
• Lita Salise Matibag, LVN
• Kale Vincent McSpadden
• Cristian Medal
• Christian Medina
• Asha Ellora Mehta-Khan
• Laylah Angelica Melgoza-Rojas

• Physician Assistant in Hercules, CA
• Providers in Hercules, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.
• 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.

Verify at the official NPI Registry.