Mya Ashlyn Alves, PA-C
Individual provider Active NPI Physician Assistant · Eureka, CA
NPI 1417644121 · NPPES record last updated Sep 26, 2023
Key facts
- NPI
- 1417644121
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 2440 23Rd St
Eureka, CA 95501-3203 - Phone
- (707) 298-2011
- NPI assigned
- Apr 21, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- United Indian Health Services, Inc.
Practice addresses (Care Compare)
434 7TH St
Eureka, CA 95501-1803
Phone (707) 296-2500
Hospital & facility affiliations
- Providence St Joseph Hospital
- Mad River Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230608001472 | CA | Practitioner - Physician Assistant | 1153788062 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62714 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Indian Health Services, Inc. | Current |
Accepting new patients | |
| United Indian Health Services, Inc. | Current |
Accepting new patients | |
| United Indian Health Services, Inc. | Past | Accepting new patients |
Locations
1600 Weeot Way
Arcata, CA 95521
Phone (707) 825-5000
434 7th St
Eureka, CA 95501
Phone (707) 296-2500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
2440 23Rd St
Eureka, CA 95501-3203
Mailing address
2440 23Rd St
Eureka, CA 95501-3203
Phone (707) 298-2011
Other providers in Eureka, CA
- Altea Medical California PC
- Staci Louise Altomare
- Carlos Alberto Alvarado Ramirez
- Nicole Kim Alvarado
- Octavio Alvarez Hernandez
- Philip Alway
- Tiffany Alway
- Jose Amaral
- Edith Nungong Amba
- Victoria Rhiannon Ambrose
All providers in Eureka, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.