Vlascovia Marlene Velasco Rios, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA19594 Issued in CA

Practice address

2760 3Rd St
Ceres, CA 95307-3235

Phone

(209) 556-5011

Fax

(209) 556-5095

NPI assigned

Jan 31, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Family First Medical Care a Professional CorporationGroup PAC ID 8022338854, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Family First Medical Care a Professional Corporation

  • Multi-Specialty Clinic/Center
  • Modesto, CA
  • NPI 1689066029
  Medicare reassignment Care Compare group
• Family First Medical Care a Professional Corporation

  • Durable Medical Equipment & Medical Supplies
  • Modesto, CA
  • NPI 1699639070
  NPD

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500940800000",
    "number": "1396923454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 CUSTOMER CARE WAY",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "95301",
            "telephone_number": "209-383-1848",
            "fax_number": "209-383-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 3RD ST",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953073235",
            "telephone_number": "209-556-5011",
            "fax_number": "209-556-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELASCO RIOS",
        "first_name": "VLASCOVIA",
        "middle_name": "MARLENE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-31",
        "last_updated": "2017-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA19594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENSE",
            "identifier": "PA19594",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valerie Denise Van Tuinen, BHS
• Robin Neal Vanderheiden, CAS
• Roberto Vargas-Pantoja
• Arianna Vasquez
• Dana Michelle Vaughan
• Dawn Vercelli, CADC-CAS
• James Verma
• Debbie Lynn Vieira, LCSW
• Uriel Viera
• Juan Villa, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2017; 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.