Active NPI
Hector A Veron, PA
- Medical Physician Assistant
- Riverside, CA
National Provider Identifier
1649276346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA10688
- Practice address
- 6850 Brockton Ave
Ste 212
Riverside, CA 92506-3815 - Phone
- (951) 774-4611
- Fax
- (951) 276-3597
- NPI assigned
- Jun 27, 2005
- Sex
- Male
- 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 | PA10688 | CA | Primary |
| Surgical Physician Assistant | 363AS0400X | PA10688 | CA |
Addresses
Primary practice location
6850 Brockton Ave
Ste 212
Riverside, CA 92506-3815
Mailing address
399 E Highland Ave
Ste 409
San Bernardino, CA 92404-3866
Phone (909) 883-3883
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OPA106880 | Other | CA | PPIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA10688 | CA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic Medical Group of Riverside, Inc. | Past | Accepting new patients | |
| Orthopaedic Medical Group of Riverside, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- San Bernardino, CA
- NPI 1316051261
-
dba Aim Hi Therapy Center
- Physical Therapy Clinic/Center
- San Bernardino, CA
- NPI 1568494078
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295568000000",
"number": "1649276346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "399 E HIGHLAND AVE",
"address_2": "STE 409",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924043866",
"telephone_number": "909-883-3883",
"fax_number": "951-276-3597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6850 BROCKTON AVE",
"address_2": "STE 212",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925063815",
"telephone_number": "951-774-4611",
"fax_number": "951-276-3597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERON",
"first_name": "HECTOR",
"middle_name": "A",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-27",
"last_updated": "2011-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA10688",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CA",
"license": "PA10688",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PPIN",
"identifier": "OPA106880",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.