Active NPI
Mayra Velazquez, P.A
- Physician Assistant
- Hesperia, CA
National Provider Identifier
1558632471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA22042
- Practice address
- 11919 Hesperia Rd
Hesperia, CA 92345-2158 - Phone
- (760) 948-1454
- NPI assigned
- Jan 24, 2012
- Last updated
- Jan 25, 2012
- 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 | PA22042 | CA | Primary |
Addresses
Primary practice location
11919 Hesperia Rd
Hesperia, CA 92345-2158
Mailing address
11919 Hesperia Rd
Hesperia, CA 92345-2158
Phone (760) 948-1454
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, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13024 Hesperia Rd
Suite 103
Victorville, CA 92395-8303
Phone (760) 241-3547
600 E Williams St
Barstow, CA 92311-2943
Phone (760) 256-0328
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.64 of 100
- Quality
- 38.33
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 96.3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA22042 | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Apple Valley, CA
- NPI 1538324645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327449600000",
"number": "1558632471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11919 HESPERIA RD",
"city": "HESPERIA",
"state": "CA",
"postal_code": "923452158",
"telephone_number": "760-948-1454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11919 HESPERIA RD",
"city": "HESPERIA",
"state": "CA",
"postal_code": "923452158",
"telephone_number": "760-948-1454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELAZQUEZ",
"first_name": "MAYRA",
"credential": "P.A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-24",
"last_updated": "2012-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA22042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hesperia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.