Individual provider Active NPI

Mayra Lorena Aroche, PA-C

  • Medical Physician Assistant
  • Los Angeles, CA
National Provider Identifier
1326171273
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA15146 Issued in CA
Practice address
1701 E Cesar Chavez Ave
Suite 230
Los Angeles, CA 90033-2464
Phone
(323) 226-1100
Fax
(323) 226-1101
NPI assigned
Mar 13, 2007
Last updated
Oct 18, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA15146 CA Primary

Addresses

Primary practice location

1701 E Cesar Chavez Ave
Suite 230
Los Angeles, CA 90033-2464

Mailing address

5823 York Blvd
# 1
Los Angeles, CA 90042-2634
Phone (323) 255-3437

Other identifiers 1

IdentifierTypeStateIssuer
P00379482OtherGAMEDICARE RAILROAD

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070425000690 CA Practitioner - Physician Assistant 5496851198 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
15146CAMDPediatric Occupational Therapist
PA15146CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Specialists Medical Corporation CurrentSince Nov 6, 2006 Accepting new patients
Family Care Specialists Medical Corporation CurrentSince Nov 6, 2006 Accepting new patients
FCS - Highland Park Past Accepting new patients
Family Care Specialists Medical Corporation Past Accepting new patients

Locations

1701 E Cesar E Chavez Ave
Ste 230
Los Angeles, CA 90033
Phone (323) 226-1100

1701 E Cesar E Chavez Ave
Ste 402
Los Angeles, CA 90033
Phone (323) 255-5643

5823 York Blvd
#1
Los Angeles, CA 90042
Phone (323) 226-1100

5823 York Blvd
Ste 3
Los Angeles, CA 90042
Phone (323) 255-5643

5823 York Blvd
Ste 4
Los Angeles, CA 90042

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mayra.aroche.2@24668.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1326171273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5823 YORK BLVD",
            "address_2": "# 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900422634",
            "telephone_number": "323-255-3437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E CESAR CHAVEZ AVE",
            "address_2": "SUITE 230",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332464",
            "telephone_number": "323-226-1100",
            "fax_number": "323-226-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AROCHE",
        "first_name": "MAYRA",
        "middle_name": "LORENA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA15146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00379482",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.