Mayra Perez Avina, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95004872 Issued in CA

Practice address

1141 Pear Tree LN
Ste 100
Napa, CA 94558-6484

Phone

(707) 254-1770

NPI assigned

Jun 2, 2016

Last updated

Oct 15, 2018By the provider in NPPES

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mavina675477@direct.ochin.org

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.

• Ole Health

  • Federally Qualified Health Center (FQHC)
  • Napa, CA
  • NPI 1700976503
  Medicare reassignment NPD
• Ole Health

  • Federally Qualified Health Center (FQHC)
  • Fairfield, CA
  • NPI 1245043165
  NPD
• Ole Health

  • Federally Qualified Health Center (FQHC)
  • Napa, CA
  • NPI 1609170695
  NPD
• Ole Health

  dba CommuniCare OLE

  • Federally Qualified Health Center (FQHC)
  • Davis, CA
  • NPI 1558366823
  NPD (past)

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1336597004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 PEAR TREE LN",
            "address_2": "STE 100",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945586484",
            "telephone_number": "707-254-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 PEAR TREE LN",
            "address_2": "STE 100",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945586484",
            "telephone_number": "707-254-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVINA",
        "first_name": "MAYRA",
        "middle_name": "PEREZ",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-02",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95004872",
            "primary": true
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CA",
            "license": "95044590",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Aviles Beas
• Rosario Aviles-Ibarra
• Diana Avina Cardenas
• Maria Luisa Avina Ramos, AMFT
• Bryan Avina
• Awaken Holistic Therapy - Marriage and Family Counseling
• Julio Ayala
• Nora Ayala
• Selene Ayala
• Yolanda Ayala

• Family Nurse Practitioner in Napa, CA
• Providers in Napa, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.