Individual provider Active NPI

Vicki Mazzorana, M.D

  • Emergency Medicine Physician
  • Mountain View, CA
National Provider Identifier
1609821180
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
11460 Issued in NV
Practice address
2500 Grant Road
Mountain View, CA 94040
Phone
(650) 940-7055
NPI assigned
May 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X G75596 CA
Emergency Medicine Physician 207P00000X 11460 NV Primary

Addresses

Primary practice location

2500 Grant Road
Mountain View, CA 94040

Mailing address

2100 Powell Street
Ste 920
Emeryville, CA 94608-1803
Phone (510) 350-2777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, AZ, TX, OR4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20061020000547 NV Practitioner - Emergency Medicine 5991798092 Reassigns benefits to 1 organization
I20121228000268 AZ Practitioner - Emergency Medicine 5991798092 Reassigns benefits to 2 organizations
I20171014000414 TX Practitioner - Emergency Medicine 5991798092 Reassigns benefits to 2 organizations
I20200803001076 OR Practitioner - Emergency Medicine 5991798092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fremont Emergency Services Scherr LTDGroup PAC ID 4880684554, 135 clinicians

Practice addresses (Care Compare)

3100 N Tenaya Way
Las Vegas, NV 89128-0436
Phone (856) 686-4394

Hospital & facility affiliations

  • Henderson Hospital Hospital, Henderson, NV, CCN 290057
  • Sunrise Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290003
  • Southern Hills Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G75596CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fremont Emergency Services Scherr LTD Emergency Medicine CurrentSince Oct 1, 2024 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Nov 1, 2021 Accepting new patients
DHHS IHS Phoenix Area Current Accepting new patients
Samaritan Pacific Health Services, Inc Current Accepting new patients
Arizona Emergency Medicine Specialists PC Emergency Medicine CurrentSince Nov 5, 2012 Accepting new patients
Fremont Emergency Services Scherr LTD Emergency Medicine CurrentSince Oct 1, 2024 Accepting new patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince Sep 27, 2017 Accepting new patients
Progressive Medical Associates PLLC Emergency Medicine CurrentSince Sep 30, 2022 Accepting new patients
Berkeley Emergency Medical Group, Inc. Emergency Medicine PastSince Jan 22, 2023 Accepting new patients
True North Health Navigation LLC Emergency Medicine Past Accepting new patients
Stanford Health Care Emergency Medicine Past Accepting new patients
The Emergency Group, Inc. Emergency Medicine Past Accepting new patients
Berkeley Emergency Medical Group, Inc. Emergency Medicine PastSince Jan 22, 2023 Accepting new patients
Emergency Medicine Physicians of Clark Umc McCourt PLLC Emergency Medicine Past Accepting new patients

Locations

101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

12033 Agency Rd
Parker, AZ 85344
Phone (760) 572-4137

516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326

9075 Blue Diamond Rd
Las Vegas, NV 89178
Phone (702) 916-5000

3325 S Fort Apache Rd
Las Vegas, NV 89117
Phone (702) 962-0500

10770 Las Vegas Blvd S
Las Vegas, NV 89183
Phone (702) 916-9002

3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

9300 W Sunset Rd
Las Vegas, NV 89148
Phone (702) 880-2100

7207 Aliante Pkwy
Ste N
North Las Vegas, NV 89084

930 SW Abbey St
Newport, OR 97365
Phone (541) 265-2244

2941 Lake Vista Dr
Lewisville, TX 75067
Phone (469) 879-4693

Interoperability endpoints

  • Direct secure messaging: vicki.mazzorana.1@13869.direct.athenahealth.com
  • Direct secure messaging: vmazzorana106738@secure.stcharleshealthcare.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1609821180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 POWELL STREET",
            "address_2": "STE 920",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081803",
            "telephone_number": "510-350-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 GRANT ROAD",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "94040",
            "telephone_number": "650-940-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZORANA",
        "first_name": "VICKI",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G75596",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "11460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

Verify at the official NPI Registry.