Active NPI
Vasso Anest Kumarelas, PA-C
- Medical Physician Assistant
- Brookline, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA6390
- Practice address
- 1285 Beacon St
Brookline, MA 02446-5237 - Phone
- (617) 751-6205
- Fax
- (617) 487-8663
- NPI assigned
- Jan 20, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA1688 | NV | |
| Medical Physician Assistant | 363AM0700X | MA6390 | MA | Primary |
Addresses
Primary practice location
1285 Beacon St
Brookline, MA 02446-5237
Mailing address
1720 W Horizon Ridge Pkwy Ste 140
Henderson, NV 89012-4896
Phone (702) 566-5445
Other practice location 1
1720 W Horizon Ridge Pkwy Ste 140
Henderson, NV 89012-4896
Phone (702) 566-5445
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
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1150 W El Camino Real
Mountain View, CA 94040-2518
Phone (650) 988-7667
4150 N 1St St
San Jose, CA 95134-1513
Phone (408) 871-3400
625 Lincoln Ave
San Jose, CA 95126-3785
Phone (408) 871-3400
815 Pollard Rd
Los Gatos, CA 95032-1438
Phone (408) 866-4070
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA6390 | MA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| King County Public Hospital District No 2 | Past | Accepting new patients | |
| El Camino Health Medical Group | Past | Accepting new patients | |
| Carbon Health Primary Care of California PC | Past | Accepting new patients |
Interoperability endpoints
- vkumarelas183345@icare.elcaminohospital.org
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- San Jose, CA
- NPI 1164880761
-
dba Carbon Health
- Urgent Care Clinic/Center
- Berkeley, CA
- NPI 1417294232
-
- Multi-Specialty Clinic/Center
- Berkeley, CA
- NPI 1972057990
-
- Geriatric Medicine (Family Medicine) Physician
- Los Gatos, CA
- NPI 1578831764
-
dba Evergreen Healthcare OB Hospitalists
- Obstetrics Physician
- Kirkland, WA
- NPI 1891883435
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba El Camino Health
- General Acute Care Hospital
- Mountain View, CA
- NPI 1093712374
-
- General Acute Care Hospital
- Los Gatos, CA
- NPI 1417199340
-
- General Acute Care Hospital
- Los Gatos, CA
- NPI 1457594087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583107200000",
"number": "1477910537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 W HORIZON RIDGE PKWY STE 140",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890124896",
"telephone_number": "702-566-5445",
"fax_number": "702-566-5035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1285 BEACON ST",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024465237",
"telephone_number": "617-751-6205",
"fax_number": "617-487-8663"
}
],
"practiceLocations": [
{
"address_1": "1720 W Horizon Ridge Pkwy Ste 140",
"address_purpose": "LOCATION",
"city": "Henderson",
"state": "NV",
"postal_code": "890124896",
"country_code": "US",
"telephone_number": "702-566-5445",
"fax_number": "702-566-5035",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUMARELAS",
"first_name": "VASSO",
"middle_name": "ANEST",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-20",
"last_updated": "2020-03-02",
"certification_date": "2020-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NV",
"license": "PA1688",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MA",
"license": "MA6390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.