Individual provider Active NPI

Joshua Allan Vera, PA-C

  • Physician Assistant
  • San Jose, CA
National Provider Identifier
1346530029
Registry record updated Apr 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1715 De Marietta Ave
Apt. 3
San Jose, CA 95126-4408
Phone
(408) 431-0156
NPI assigned
Apr 14, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1715 De Marietta Ave
Apt. 3
San Jose, CA 95126-4408

Mailing address

1715 De Marietta Ave
Apt. 3
San Jose, CA 95126-4408
Phone (408) 431-0156

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
I20110811000346 CA Practitioner - Physician Assistant 8628247467 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Laser Center PC a Professional Medical CorporationGroup PAC ID 9537181185, 81 clinicians

Practice addresses (Care Compare)

621 W Line St
Suite 105
Bishop, CA 93514-3320
Phone (760) 873-8781

800 Delbon Ave
Turlock, CA 95382-2022
Phone (800) 991-6448

981 E Tuolumne Rd
Suite 104
Turlock, CA 95382-1544
Phone (209) 454-0494

Hospital & facility affiliations

  • Prohealth Home Care, Inc Home health agency, Stockton, CA, CCN 059612

Merit-based Incentive Payment System (MIPS)

Final score
91.69 of 100Reported as group
Quality
91.59
Promoting interoperability
94
Improvement activities
40
Cost
76.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21567CAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara CurrentSince Jul 1, 2011 Accepting new patients
Healing Our Village of Maryland, Inc. Current Accepting new patients
County of Santa Clara CurrentSince Jul 1, 2011 Accepting new patients
County of Santa Clara Current Accepting new patients
La Laser Center PC, a Professional Medical Corporation PastSince Feb 1, 2020 Accepting new patients

Locations

1650 Las Plumas Ave
Ste K
San Jose, CA 95133
Phone (408) 272-6726

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

2105 Forest Ave
San Jose, CA 95128
Phone (408) 947-2500

Interoperability endpoints

  • Direct secure messaging: jvera@lalasercenter.emadirect.md

Organizations & group practices 10

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302739200000",
    "number": "1346530029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 DE MARIETTA AVE",
            "address_2": "APT. 3",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951264408",
            "telephone_number": "408-431-0156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 DE MARIETTA AVE",
            "address_2": "APT. 3",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951264408",
            "telephone_number": "408-431-0156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERA",
        "first_name": "JOSHUA",
        "middle_name": "ALLAN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-14",
        "last_updated": "2011-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.