Active NPI
Vicki Mazzorana, M.D
- Emergency Medicine Physician
- Mountain View, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 11460
- 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
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 |
|---|---|---|---|---|
| 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, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
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
Practice addresses (Care Compare)
3100 N Tenaya Way
Las Vegas, NV 89128-0436
Phone (856) 686-4394
Hospital & facility affiliations
- Henderson Hospital
- Sunrise Hospital and Medical Center
- Southern Hills Hospital and Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G75596 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fremont Emergency Services Scherr LTD | Emergency Medicine | Current | Accepting new patients |
| DHHS IHS Phoenix Area | Current | 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 | Current | Accepting new patients |
| Fremont Emergency Services Scherr LTD | Emergency Medicine | Current | Accepting new patients |
| DHHS,PHS,Naihs, Gallup Indian Medical Center | Current | Accepting new patients | |
| Progressive Medical Associates PLLC | Emergency Medicine | Current | Accepting new patients |
| Berkeley Emergency Medical Group, Inc. | Emergency Medicine | Past | 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 | Past | 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
- vicki.mazzorana.1@13869.direct.athenahealth.com
- 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.
-
- Emergency Medicine Physician
- Las Vegas, NV
- NPI 1679550149
-
- Emergency Medicine Physician
- Lake Havasu City, AZ
- NPI 1134439706
-
- General Acute Care Hospital
- Gallup, NM
- NPI 1225002322
TX
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1548218613
-
- Critical Access Hospital
- Newport, OR
- NPI 1801847066
-
- Critical Access Hospital
- Parker, AZ
- NPI 1851678585
-
- Emergency Medicine Physician
- North Las Vegas, NV
- NPI 1316488141
-
- Emergency Medicine Physician
- Oakland, CA
- NPI 1508874454
-
- Emergency Medicine Physician
- Berkeley, CA
- NPI 1780692632
-
- Emergency Medicine Physician
- Las Vegas, NV
- NPI 1427359447
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Henderson, NV
- NPI 1003281452
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1457306359
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1861439952
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.