Active NPI
Virginia Anne Mara, FNP-BC
- Family Nurse Practitioner
- Anaheim, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95010219
- Practice address
- 2441 W la Palma Ave Ste 100
Anaheim, CA 92801-2658 - Phone
- (657) 282-6356
- NPI assigned
- Oct 3, 2018
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95029055 | CA | |
| Family Nurse Practitioner | 363LF0000X | 95010219 | CA | Primary |
Addresses
Primary practice location
2441 W la Palma Ave Ste 100
Anaheim, CA 92801-2658
Mailing address
2441 W la Palma Ave Ste 100
Anaheim, CA 92801-2658
Phone (657) 282-6356
Other names 1
- Virginia Anne Lopez
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
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2441 W la Palma Ave
Anaheim, CA 92801-2658
Phone (657) 282-6356
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95029055 | CA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of California Irvine | Current | Accepting new patients | |
| Regents of the University of | Current | Accepting new patients | |
| University of California Irvine | Current | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients |
Locations
300 W Carl Karcher Way
Anaheim, CA 92801
Phone (657) 282-6356
2441 W La Palma Ave
Ste 100
Anaheim, CA 92801
Phone (657) 282-6356
200 S Manchester Ave
Ste 300
Orange, CA 92868
Phone (714) 424-9001
101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054
800 N Main St
Santa Ana, CA 92701
Phone (714) 456-6324
Interoperability endpoints
- vlopez1374359@oc.providencedirect.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.
-
dba UCI Family Health Center - Anaheim
- Federally Qualified Health Center (FQHC)
- Anaheim, CA
- NPI 1598790529
-
dba UC Irvine Department of Family Medicine
- Family Medicine Physician
- Orange, CA
- NPI 1366590762
-
dba UCI Health - Irvine MC Outpatient Pharmacy
- Pharmacy
- Irvine, CA
- NPI 1669344339
-
dba UCI Infusion Center
- Infusion Therapy Clinic/Center
- Irvine, CA
- NPI 1417027475
-
dba Uci Health
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University of California Irvine - Cac Urgent Care
- Urgent Care Clinic/Center
- Irvine, CA
- NPI 1518739309
Hospital
-
dba Uci Health
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707264000000",
"number": "1548735715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2441 W LA PALMA AVE STE 100",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928012658",
"telephone_number": "657-282-6356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2441 W LA PALMA AVE STE 100",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928012658",
"telephone_number": "657-282-6356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARA",
"first_name": "VIRGINIA",
"middle_name": "ANNE",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-03",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95029055",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95010219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VIRGINIA",
"last_name": "LOPEZ",
"middle_name": "ANNE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.