Individual provider Active NPI

Marie Lorian Silva, PA

  • Medical Physician Assistant
  • Turlock, CA
National Provider Identifier
1700978970
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA14183 Issued in CA
Practice address
1145 Geer Rd
Suite a
Turlock, CA 95380-3381
Phone
(209) 656-9517
Fax
(209) 656-9545
NPI assigned
Sep 28, 2006
Last updated
Jun 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA14183 CA Primary

Addresses

Primary practice location

1145 Geer Rd
Suite a
Turlock, CA 95380-3381

Mailing address

911 E Tuolumne Rd
Turlock, CA 95382-1543
Phone (209) 656-9517

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040322001672 CA Practitioner - Physician Assistant 6002707825 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Otashe Golden MD IncGroup PAC ID 4880021393, 5 clinicians

Practice addresses (Care Compare)

1400 Celeste Dr
Modesto, CA 95355-5041
Phone (866) 671-7772

1932 Evergreen Ave
Modesto, CA 95350-3738
Phone (866) 671-7772

6940 Pacific Ave
Stockton, CA 95207-2602
Phone (866) 671-7772

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Michael L. Brodie PastSince Mar 1, 2011 Accepting new patients

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1700978970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 E TUOLUMNE RD",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953821543",
            "telephone_number": "209-656-9517",
            "fax_number": "209-656-9545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 GEER RD",
            "address_2": "SUITE A",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953803381",
            "telephone_number": "209-656-9517",
            "fax_number": "209-656-9545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVA",
        "first_name": "MARIE",
        "middle_name": "LORIAN",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA14183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, CA

Sources for this page

Verify at the official NPI Registry.