Active NPI
Maria D Torres, PA-C
- Physician Assistant
- San Bernardino, CA
National Provider Identifier
1417963398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA 18158
- Practice address
- 2150 N Waterman Ave
Ste 202
San Bernardino, CA 92404-4811 - Phone
- (909) 383-9385
- Fax
- (909) 383-4009
- NPI assigned
- Jul 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA 18158 | CA | Primary |
Addresses
Primary practice location
2150 N Waterman Ave
Ste 202
San Bernardino, CA 92404-4811
Mailing address
3400 Data Dr
Quality Management
Rancho Cordova, CA 95670-7956
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA 18158 | Other | CA | MEDICAL LICENSE |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18158 | CA | MD | Acupuncturist |
| PA 18158 | CA | MD | Physician Assistant |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 1
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.
-
- Health Service Clinic/Center
- Pomona, CA
- NPI 1700055274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1417963398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 DATA DR",
"address_2": "QUALITY MANAGEMENT",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956707956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 N WATERMAN AVE",
"address_2": "STE 202",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924044811",
"telephone_number": "909-383-9385",
"fax_number": "909-383-4009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TORRES",
"first_name": "MARIA",
"middle_name": "D",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA 18158",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "PA 18158",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.