Individual provider Active NPI

Mayra A Hernandez Schulte, MD

  • Family Medicine Physician
  • Mission Viejo, CA
National Provider Identifier
1689156168
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A167202 Issued in CA
Practice address
26137 La Paz Rd Ste 200
Mission Viejo, CA 92691-5321
Phone
(714) 922-4100
NPI assigned
Aug 31, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X A167202 CA
Family Medicine Physician 207Q00000X A167202 CA Primary

Addresses

Primary practice location

26137 La Paz Rd Ste 200
Mission Viejo, CA 92691-5321

Mailing address

801 E Katella Ave
Anaheim, CA 92805-6614
Phone (714) 633-6373

Other practice location 1

801 E Katella Ave
Anaheim, CA 92805-6614
Phone (714) 633-6373

Other identifiers 1

IdentifierTypeStateIssuer
A167202OtherCAMEDICAL BOARD OF CALIFORNIA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220819001531 CA Practitioner - Family Practice 6002218559 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as group
Quality
82.43
Promoting interoperability
100
Improvement activities
40
Cost
65.06

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
309845NYMDLicensed Practical Nurse
A167202CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Specialists of California, PC Family Medicine CurrentSince Oct 1, 2023 Accepting new patients
County of Riverside CurrentSince Nov 1, 2022 Accepting new patients
County of Riverside CurrentSince Nov 1, 2022 Accepting new patients
County of Riverside Current Accepting new patients
University of California, Health Riverside PastSince Aug 6, 2019 Accepting new patients

Locations

1720 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 260-5781

23520 Cactus Ave
Moreno Valley, CA 92553
Phone (951) 867-3812

308 E San Jacinto Ave
Perris, CA 92570
Phone (951) 940-6700

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mhernandezschulte580028@direct.llu.edu

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1535673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1689156168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E KATELLA AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928056614",
            "telephone_number": "714-633-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26137 LA PAZ RD STE 200",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915321",
            "telephone_number": "714-922-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 E Katella Ave",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928056614",
            "country_code": "US",
            "telephone_number": "714-633-6373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ SCHULTE",
        "first_name": "MAYRA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-31",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "A167202",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A167202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD OF CALIFORNIA",
            "identifier": "A167202",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.