Mary Jo Vita Urso, D.O.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

20A8265 Issued in CA

Practice address

1515 W Florida Ave
Hemet, CA 92543

Phone

(951) 929-8400

Fax

(951) 929-8411

NPI assigned

Jul 8, 2005

Sex

Female

Sole proprietor

Yes

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

College of Osteo Med of the Pacific at Pomona, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Seven Star Medical Group, Inc.Group PAC ID 4789091026, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: maryjo.urso.p60@direct.kmsm.nextgenshare.com

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.

• Seven Star Medical Group Inc.

  • Nephrology Physician
  • Hemet, CA
  • NPI 1710580808
  Medicare reassignment Care Compare group NPD
• Apex Healthcare Medical Center Inc

  • Specialist
  • Hemet, CA
  • NPI 1447455423
  Medicare reassignment NPD
• Obhg California, P.C.

  • Obstetrics & Gynecology Physician
  • Greenville, SC
  • NPI 1215258892

  CA

  Medicare reassignment NPD
• Lake Havasu OB/GYN, PC

  • Medical Specialty Clinic/Center
  • Lake Havasu City, AZ
  • NPI 1598944811
  NPD (past) Authorized official
• Apex Healthcare Medical Center Inc

  • Obstetrics & Gynecology Physician
  • Hemet, CA
  • NPI 1053680181
  NPD
• Apex Healthcare Medical Center Inc

  • Hematology & Oncology Physician
  • Hemet, CA
  • NPI 1124453055
  NPD
• Seven Star Medical Group Inc.

  • Obstetrics & Gynecology Physician
  • Hemet, CA
  • NPI 1093318172
  NPD
• Seven Star Medical Group Inc.

  • Internal Medicine Physician
  • Hemet, CA
  • NPI 1427651462
  NPD

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1386642783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 W FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925433817",
            "telephone_number": "951-929-8400",
            "fax_number": "951-929-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 W FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "92543",
            "telephone_number": "951-929-8400",
            "fax_number": "951-929-8411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "99 Riviera Drive",
            "address_purpose": "LOCATION",
            "city": "Lake Havasu City",
            "state": "AZ",
            "postal_code": "864035713",
            "country_code": "US",
            "telephone_number": "928-680-2846",
            "fax_number": "928-680-2845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "URSO",
        "first_name": "MARY JO",
        "middle_name": "VITA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-08",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "3696",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "20A8265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "635526",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Jefferson Underwood Jr., MSW
• Unity Villa Homes LLC
• Universal Health Net Inland Empire
• Sandra Uribe, MS
• Jose Manuel Uriostegui
• Christian Usher, MD
• Dulce Valderrama
• Israel Valdez Hernandez, LCSW
• Thania Valdez-Yakuta
• Diana Valdez, OTR/L

• Obstetrics & Gynecology Physician in Hemet, CA
• Providers in Hemet, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.
• 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.